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Self-Certification Sickness Form UK | SC2-Style Template (Word, PDF)

Let staff self-certify the first 7 days of sickness and capture dates in writing for payroll and SSP. Lawyer-drafted UK template, updated for the 2026 SSP rules.
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A self-certification sickness form lets an employee declare, in writing and on their own authority, that they were unfit for work during the first seven calendar days of an absence. In the UK no fit note is required for that opening week, so this self-certification form is the document that closes the gap: it records the dates, the reason given, and the employee's signed declaration, giving you a clean evidential basis for Statutory Sick Pay (SSP) and a defensible entry in the absence file. It follows the structure of HMRC's well-known SC2 employee statement of sickness, written for small employers, HR teams, and line managers who need short-term sickness handled properly rather than agreed verbally and forgotten by payroll week.

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What is a self-certification sickness form?

A self-certification sickness form is the employee's own written statement that they were too ill to work, used for absences of seven calendar days or fewer. The seven days run continuously and include weekends, bank holidays, and rest days, regardless of the person's normal working pattern, so a Monday-to-Sunday illness is fully self-certified even though only five of those days were working days. It is the recognised substitute for medical evidence during that first week, because UK law does not entitle an employer to demand a fit note (formally a Statement of Fitness for Work, the old Med3) until the absence has run beyond the seventh consecutive day.

People often confuse this document with a fit note, and the distinction matters for pay. A fit note is medical evidence signed by a clinician; a self-certification form is the employee's own declaration with no doctor involved. The best-known template is HMRC's SC2, which can be used both to ask the employer for SSP and to self-certify the absence, but you are not obliged to use the SC2 itself. Many businesses run their own return-to-work and sickness records instead, and that is entirely lawful provided the form captures the same core information. What you must not do is treat the form as proof of SSP entitlement on its own, because eligibility turns on separate statutory tests rather than on the declaration.

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When do you need this document?

The everyday trigger is a routine short illness, the kind that lasts two or three days and never reaches a doctor. The employee phones in, recovers, returns, and on the first day back completes the form to confirm the dates. Without that signed confirmation you are relying on a voicemail and a memory, which is exactly the "agreed in the corridor" scenario that unravels when payroll queries the SSP entry. The form turns an informal call into a record you can stand behind.

A second common case is the absence that creeps towards the seven-day limit. Someone is off Thursday and Friday, stays unwell over the weekend, and is still poorly on Monday and Tuesday. You need the self-certification form to cover the whole stretch, and you need to know that day eight is the point at which you may lawfully ask for a fit note, not before. Getting that boundary right protects both the SSP calculation and the working relationship.

The form also earns its place when sickness sits alongside other absence types you already manage through your leave request and approval templates, because consistent paperwork across holiday, unpaid leave, and sickness is what demonstrates fair treatment if a pattern is ever challenged. Two edge cases reward attention. First, an employee who falls sick during booked annual leave can usually convert those days to sick leave and reclaim the holiday, but only with contemporaneous evidence, and the self-certification form is that evidence. Second, where an absence may be pregnancy-related or disability-related, the form should record only what you genuinely need, because over-collecting medical detail creates its own risk.

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Key clauses included in our template

  • The employee and employer identification block captures the full name, job title, department, and payroll or employee reference, so the completed form maps cleanly onto your payroll system. A statement that cannot be tied to a named individual and a pay record is of little use when SSP is questioned weeks later.
  • The absence dates and calendar-day count record the first and last day of incapacity and total the calendar days, including any weekend or rest days that fall inside the period. This is the field that proves the absence stayed within the seven-day self-certification window rather than crossing into fit-note territory.
  • The reason for absence is captured in proportionate terms, prompting a brief description without inviting intrusive medical disclosure. The template deliberately keeps this light, because the Equality Act 2010 and data-minimisation principles both point away from collecting more health information than the situation requires.
  • The signed declaration of truth is the heart of the document. The employee confirms the statement is accurate and understands that a false declaration may affect pay and amount to misconduct, which is what gives the form its evidential weight in any later dispute.
  • The SSP and notification section records whether the absence was reported in line with your reporting procedure and flags the SSP position, sitting naturally beside your employment contract and written particulars where the sickness reporting rules are set out.
  • The return-to-work confirmation notes the actual return date and any short discussion held, closing the loop and feeding directly into your wider absence and dismissal records should attendance ever become a formal matter.
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Regional considerations

Statutory Sick Pay and the seven-day self-certification rule operate uniformly across England, Wales, and Scotland, because SSP is reserved social-security legislation rather than a devolved matter. The reforms that took effect on 6 April 2026 apply identically in all three nations, so a self-certification form drafted for a business in Cardiff works without amendment for one in Edinburgh or Manchester. The practical differences you will meet are contractual rather than territorial: many employers operate an occupational or company sick pay scheme that pays more than SSP, and where that exists the self-certification form still governs the evidence even though the money flows under the contract.

Northern Ireland runs a parallel but separate regime. The substantive rules mirror Great Britain, including the move to day-one payment, but they sit under Northern Ireland social-security legislation administered separately, so an employer with staff there should confirm the position under the local framework rather than assume the Great Britain wording is interchangeable. The seven-day self-certification principle itself is consistent.

Beyond geography, the variation that genuinely affects how you use the form is sector and contract type. Agency workers and other staff paid through PAYE now fall within SSP since the Lower Earnings Limit was removed, so the form is relevant to a far wider workforce than before. Employers running absence-trigger or Bradford Factor systems should treat self-certified short absences carefully, because clustering them mechanically without considering whether any are disability-related is precisely where the Equality Act 2010 duty bites. The document is the same everywhere; the policy you wrap around it is what needs local and contractual judgement.

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How to fill out this self-certification sickness form

You begin with the identification block, entering the employee's name, role, and payroll reference so the completed form matches the right pay record from the outset. From there the form moves to the absence itself, where you set the first and last day of incapacity and let the calendar-day total populate, which immediately shows whether the absence stayed inside the seven-day self-certification limit or has tipped into fit-note territory. Next comes the proportionate reason field, kept deliberately brief, followed by the notification details that confirm the absence was reported in line with your own procedure. The employee then completes the signed declaration, which is the part that gives the document its weight, before the manager adds the return-to-work date and any short note from the back-to-work conversation. The finished form is saved to the personnel file and, where SSP applies, passed to payroll so the entry is supported by evidence rather than recollection. If you also need to record the original request or approval of related time off, the form pairs naturally with your other leave request documents so the whole absence sits in one consistent set.

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Common mistakes to avoid

The most frequent error is demanding a fit note for a two or three-day illness. Employers do this out of caution, but during the first seven calendar days the law treats self-certification as sufficient, and insisting on early medical evidence is not only unenforceable for SSP purposes, it can leave you covering a private clinician's fee. The mirror-image mistake is failing to collect any written confirmation at all, so the absence rests on a phone call no one wrote down; this is what produces the payroll query that nobody can answer three weeks on. A third recurring problem is miscounting the seven days by excluding weekends, which wrongly pushes the perceived fit-note date earlier and creates needless friction with an employee who was entitled to self-certify the whole period.

Two further mistakes carry real legal exposure. Treating the form as proof of SSP entitlement is wrong, because entitlement now depends on the Employment Rights Act 2025 eligibility tests rather than on the declaration, and promising SSP that does not in fact qualify creates a pay dispute of your own making. The most serious error is applying an absence-trigger policy rigidly to someone whose sickness may be disability-related, ignoring the reasonable-adjustment duty under the Equality Act 2010. A mechanical "three absences and you are out" approach is one of the clearest routes into a discrimination or unfair dismissal claim, and a stack of correctly completed self-certification forms will not save a process that skipped that consideration.

Key takeaways

EVIDENCE

Use self-certification for the first seven days

A self-certification sickness form covers absences of seven calendar days or fewer, and the count runs continuously. Weekends, bank holidays and rest days are included, whatever the person’s working pattern. In that opening week you cannot require a fit note, so this form is what records the dates, the stated reason and the employee’s signed declaration for the absence file and payroll.

SSP 2026

SSP starts day one and covers more staff

From 6 April 2026, SSP is payable from the first full day of sickness absence, removing the old waiting days. The Lower Earnings Limit test is also abolished, so entitlement no longer depends on hitting a minimum weekly earnings figure. The weekly amount is the lower of the statutory flat rate or 80% of average weekly earnings, which changes outcomes for lower-paid staff.

LIMITS

The form supports SSP, but does not decide it

A self-certification form is accepted evidence in the first week, but it is not proof of SSP entitlement by itself. Eligibility still depends on separate statutory conditions, so treat the declaration as part of your records rather than the final answer on pay. It also differs from a fit note: no clinician signs it, and medical evidence only comes in after day seven.

Frequently Asked Questions

The form is a signed declaration rather than a contract, so its force comes from the employee certifying the truth of the statement. Once signed it is admissible evidence of the absence and the reason given, and a knowingly false declaration can be treated as misconduct and may affect entitlement to pay. For Statutory Sick Pay it provides the evidence an employer needs for absences of seven calendar days or fewer, since UK law does not permit a fit note to be demanded within that window. It does not by itself create an SSP entitlement, because that depends on the separate eligibility tests, but a properly completed form is the document that supports the claim and stands up if the absence is later questioned.

Self-certification covers the first seven calendar days of a sickness absence, and the count includes weekends, bank holidays, and rest days, not only working days. So an employee off from Monday through Sunday self-certifies the entire week even though only five were working days. From day eight onward the absence is no longer self-certifiable, and the employer may require a fit note from a GP or other qualifying clinician as evidence to continue the sickness record and support ongoing SSP. The seven-day rule was not affected by the April 2026 reforms; only the pay rules changed, so the documentation boundary remains exactly where it has always been.

You receive the form in editable Microsoft Word format and as a clean PDF. The Word version lets you add your company name, adjust the notification wording to match your own reporting procedure, and align it with your existing absence policy, so you customise it once and reuse it across the business. The PDF is the version you would typically circulate for completion or print for the personnel file. Most employers keep the Word master internally and issue the PDF, which keeps the template consistent while still giving the employee something straightforward to complete on their return to work.

Yes. Under the Employment Rights Act 2025, in force from 6 April 2026, the three waiting days were removed, so SSP is payable from the first full day of sickness absence on a qualifying day. The same reform abolished the Lower Earnings Limit, so eligibility no longer depends on a minimum weekly wage, and many part-time and lower-paid staff now qualify for the first time. The rate is the lower of the statutory flat rate or 80% of the employee's average weekly earnings. The self-certification form still matters under these rules, because it is the evidence that the qualifying days of absence actually occurred.

You can ask, but you cannot require it for SSP purposes, and doing so rarely helps. During the first seven calendar days the employee's self-certification is the accepted evidence, and GPs will not normally issue a free fit note for such a short absence. If you insist on medical evidence early for your own reasons, the employee may have to obtain it privately, and you would generally be expected to cover that fee. In practice the sensible course is to rely on the self-certification form for the first week and reserve any fit-note request for absences that genuinely run beyond seven days.

Handle it with more care, not less paperwork. The Equality Act 2010 requires you to consider reasonable adjustments where ill health may amount to a disability, and that duty overrides any mechanical absence-trigger system. Record the absence on the self-certification form as normal, but keep the medical detail proportionate and avoid collecting more than you need. If a pattern emerges, the right step is a supportive conversation about adjustments rather than an automatic warning. Disciplining or dismissing on attendance grounds without weighing possible disability-related absence is one of the most common ways employers end up defending a discrimination claim, so the form is a starting point for a fair process, never a substitute for one.

Often yes. Where someone is genuinely ill during pre-booked annual leave, most employers will allow those days to be reclassified as sick leave so the holiday can be taken later, but this depends on contemporaneous evidence and your own policy. The self-certification form is what provides that evidence for absences within the seven-day window, recording that the person was unfit rather than simply on holiday. Keeping the sickness paperwork consistent with your wider annual and sick leave records is what makes the reclassification defensible, because it shows the illness was logged at the time and not reconstructed afterwards to recover lost holiday.

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Self-Certification Sickness Form UK | SC2-Style Template (Word, PDF)
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Updated on May 30, 2026

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