Requesting an additional Sick Note (Fitness to Work Certificate)

Please complete this form if your state of health means that you are unable to work when a recent sick note (‘Fitness to Work Certificate’) ends.

The doctor may call you or arrange for an appointment.

If the doctor has enough information to issue a new sick note, we will try to have this ready for collection within 5 working days. Please note that Fit notes can be back dated so any time off will be accounted for

It is not normally necessary to see a doctor before your return to work at the end of the sickness period and you can go back to work sooner if you feel well enough.

 

Additional Sick Note Request

Additional Sick Note Request

Section

Please use this date format: DD/MM/YYYY.