[{"id":"93fd7881-5e61-4cdb-ad3d-b5c5b0ff315b","order":1,"text":"[Employer / Company name]","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"0","cflou":false,"active":true},{"id":"ae0455b5-5d31-4d79-b306-a458622f2958","order":2,"text":"[Employer address]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"0","cflou":false,"active":true},{"id":"58725eab-4b84-430c-9ce8-fb7380b04c29","order":3,"text":"[Town and postcode]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"0","cflou":false,"active":true},{"id":"5c5485bd-37f8-40ec-8941-d20eac9413c4","order":4,"text":"Telephone: [Telephone] | Email: [Email]","fontSize":"11","textAlign":"left","bold":false,"underline":false,"marginBottom":"30","cflou":false,"active":true},{"id":"fc1c05d7-9504-4d2e-b1c9-da09f412eb88","order":5,"text":"[Date]","fontSize":"14","textAlign":"right","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"86038252-8cc9-419b-99dc-51393a5a6e10","order":6,"text":"Mr [Employee full name]
[Employee home address]
[Town and postcode]","fontSize":"14","textAlign":"right-align","bold":false,"underline":false,"marginBottom":"30","cflou":false,"active":true},{"id":"a0ce7d2f-a955-4012-855a-b719a2a13179","order":7,"text":"Our reference: [Reference]","fontSize":"14","textAlign":"left","bold":true,"underline":false,"marginBottom":"0","cflou":false,"active":true},{"id":"4b82c4af-e4ea-4a9a-983f-fe8929581ef9","order":8,"text":"Payroll / employee number: [Payroll number]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"5450a000-9776-47f1-9811-3afdfedfc3d9","order":9,"text":"Re: Statutory Sick Pay (SSP) — decision on your eligibility and entitlement","fontSize":"14","textAlign":"left","bold":true,"underline":true,"marginBottom":"20","cflou":false,"active":true},{"id":"eaa22ce0-28a6-4813-8a81-ef1add337922","order":10,"text":"Dear Mr [Surname],","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"4a637b54-5085-407d-b05f-a9f3fd4310a1","order":11,"text":"We are writing to confirm in writing the outcome of our assessment of your entitlement to Statutory Sick Pay (SSP) in connection with your recent sickness absence from work. This letter sets out the relevant facts, the decision we have reached and the basis for it, so that there can be no ambiguity for payroll, record-keeping or planning purposes.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"e74d6373-a4c7-4b3b-abd6-df8d93812e53","order":12,"text":"Your period of sickness absence","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"b1f7144d-2682-4d2e-ad12-427309c8319f","order":13,"text":"According to our records, you have been, or will be, absent from work owing to incapacity for the following period:","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"3e4f4e74-d674-4982-8232-2339f26453e7","order":14,"text":"Period of incapacity for work (PIW): from [First day of sickness] to [Expected / actual last day of sickness] inclusive.","fontSize":"14","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"16653cc5-dbc7-4caf-8a01-ca2a9702483f","value":"ongoing","type":"remove","operator":"="}]},{"id":"9cb44125-2994-4733-a23f-690289e4973a","order":15,"text":"Period of incapacity for work (PIW): commencing on [First day of sickness] and continuing. This is an open period of incapacity; the dates and figures below will be reviewed and updated if and when your absence ends or is extended.","fontSize":"14","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"16653cc5-dbc7-4caf-8a01-ca2a9702483f","value":"ongoing","type":"add","operator":"="}]},{"id":"401466ca-4e4c-4579-9cb8-ba5ede6e960b","order":16,"text":"Your normal working days (the days on which, but for your incapacity, you would normally be required to work) are treated as your qualifying days for SSP purposes: [Qualifying days, e.g. Monday to Friday]. SSP is only payable in respect of qualifying days.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"747ae049-f54e-448a-811b-e74c7cb1a0f5","order":17,"text":"Our decision","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"a5a14286-89ef-4e64-8ffe-4c41b244a878","order":18,"text":"Having reviewed your absence against the qualifying conditions for SSP, we confirm that you are eligible for Statutory Sick Pay in respect of this period of incapacity. This decision is based on the information currently available to us and on the statutory conditions in force, and may be revised if further information comes to light or if the relevant rules change.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true,"displayConditions":[{"field":"dd02dc49-b308-4944-8330-0dc53eaad979","value":"Not eligible","type":"remove","operator":"="}]},{"id":"7fcd6532-49a5-4af2-a3a4-c858aaf1fa54","order":19,"text":"Having reviewed your absence against the qualifying conditions for SSP, we must inform you that, on the basis of the information currently available to us, you do not qualify for Statutory Sick Pay in respect of this period of incapacity. SSP is a statutory entitlement that is payable only where all of the qualifying conditions are met; it is not a discretionary or guaranteed payment, and the fact that you are absent through illness does not, by itself, create an entitlement.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true,"displayConditions":[{"field":"dd02dc49-b308-4944-8330-0dc53eaad979","value":"Eligible","type":"remove","operator":"="}]},{"id":"ae308735-b64e-4a95-a885-747bc00a4e2e","order":20,"text":"The specific reason why you do not qualify is as follows:","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"dd02dc49-b308-4944-8330-0dc53eaad979","value":"Eligible","type":"remove","operator":"="}]},{"id":"749bd18e-2ee2-4219-aeda-551a0976b571","order":21,"text":"[Reason for not qualifying]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"dd02dc49-b308-4944-8330-0dc53eaad979","value":"Eligible","type":"remove","operator":"="}]},{"id":"c9519752-8fe2-4a4b-a4d2-86275b313bf8","order":22,"text":"Common reasons for non-payment include: average weekly earnings below the Lower Earnings Limit; the absence not yet forming a period of incapacity for work of at least four consecutive days; entitlement to SSP having already been exhausted for the maximum period; or receipt of certain other statutory payments. Because you do not qualify, we are required to provide you with form SSP1, which we enclose. Form SSP1 explains why SSP is not payable and enables you to claim Employment and Support Allowance or Universal Credit from the Department for Work and Pensions if you wish.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true,"displayConditions":[{"field":"dd02dc49-b308-4944-8330-0dc53eaad979","value":"Eligible","type":"remove","operator":"="}]},{"id":"3eb500f4-ef1d-46d0-bc7d-0dc0651be143","order":23,"text":"Waiting days","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"dd02dc49-b308-4944-8330-0dc53eaad979","value":"Not eligible","type":"remove","operator":"="}]},{"id":"e2c4bd60-99e8-48ed-98bd-6b3da6b930f4","order":24,"text":"The first three qualifying days of any period of incapacity for work are 'waiting days', for which SSP is not payable. In your case the waiting days, for which no SSP is due, are: [Waiting days / dates]. SSP becomes payable from the fourth qualifying day of incapacity. Where two periods of incapacity are separated by eight weeks or less, they are linked and treated as a single period, so that waiting days are not served again.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true,"displayConditions":[{"field":"dd02dc49-b308-4944-8330-0dc53eaad979","value":"Not eligible","type":"remove","operator":"="}]},{"id":"cefce294-f087-4a2a-8cb4-d805f201928d","order":25,"text":"Rate of Statutory Sick Pay and amount payable","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"dd02dc49-b308-4944-8330-0dc53eaad979","value":"Not eligible","type":"remove","operator":"="}]},{"id":"936f73ea-cc1e-41ee-a812-f79293f6909c","order":26,"text":"SSP is payable at the standard weekly rate of [Weekly SSP rate, e.g. £116.75] for each full qualifying week of entitlement. Where SSP is payable for part of a week only, it is calculated by reference to a daily rate, being the weekly rate divided by the number of qualifying days in that week. On the basis of your qualifying days, the daily rate applicable to you is [Daily SSP rate].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"dd02dc49-b308-4944-8330-0dc53eaad979","value":"Not eligible","type":"remove","operator":"="}]},{"id":"913582c7-4294-4365-af89-66cefbd5ff0c","order":27,"text":"The first day for which SSP is payable to you is [First payable day]. The amount of SSP payable to you in respect of the period set out above, after the waiting days have been served, is [Total amount or 'as accrued each pay period']. SSP is treated as earnings and is therefore subject to deductions for income tax and National Insurance contributions in the usual way.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true,"displayConditions":[{"field":"dd02dc49-b308-4944-8330-0dc53eaad979","value":"Not eligible","type":"remove","operator":"="}]},{"id":"3abb047e-5ef0-4443-bc39-b41ad4deafb1","order":28,"text":"Duration and maximum entitlement","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"dd02dc49-b308-4944-8330-0dc53eaad979","value":"Not eligible","type":"remove","operator":"="}]},{"id":"2f0566a1-78a1-49ff-bac8-841f2a683a1a","order":29,"text":"SSP is payable for a maximum of 28 weeks in respect of any one period of incapacity for work, or series of linked periods. As at the date of this letter, the number of weeks of SSP already paid to you in the current (or linked) period is [Weeks of SSP already used]. Should your incapacity continue, we will keep your remaining entitlement under review and will notify you in writing before your SSP entitlement is exhausted, providing you with form SSP1 at that time so that you may claim further support from the Department for Work and Pensions.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true,"displayConditions":[{"field":"dd02dc49-b308-4944-8330-0dc53eaad979","value":"Not eligible","type":"remove","operator":"="}]},{"id":"cb3a1af2-9c88-4605-908e-5186bfbaf90d","order":30,"text":"Payment arrangements","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"dd02dc49-b308-4944-8330-0dc53eaad979","value":"Not eligible","type":"remove","operator":"="}]},{"id":"e3e8e69e-5f18-484a-9921-ba95951c2619","order":31,"text":"SSP will be paid to you through the normal payroll on your usual pay date by [Payment method, e.g. BACS to your nominated bank account], and will appear on your payslip identified separately as Statutory Sick Pay. It will be paid in place of, and not in addition to, your normal earnings for the days covered.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true,"displayConditions":[{"field":"dd02dc49-b308-4944-8330-0dc53eaad979","value":"Not eligible","type":"remove","operator":"="}]},{"id":"25cc7373-6d18-4d0a-9eb5-303f94a49d93","order":32,"text":"Relationship with company sick pay","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"dd02dc49-b308-4944-8330-0dc53eaad979","value":"Not eligible","type":"remove","operator":"="}]},{"id":"49931d27-4c07-4f9b-83fd-e6a50a997f8a","order":33,"text":"[Statement on contractual / occupational sick pay] Where any contractual or occupational sick pay is payable to you, SSP is included within (and not paid on top of) that contractual sick pay, so that the total does not exceed your contractual entitlement.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true,"displayConditions":[{"field":"dd02dc49-b308-4944-8330-0dc53eaad979","value":"Not eligible","type":"remove","operator":"="}]},{"id":"72dabc07-d73d-40f2-bb59-c20d63c3c937","order":34,"text":"Your responsibilities","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"cf030df1-11c4-4378-9a6d-3778e65f3f08","order":35,"text":"To enable us to administer your absence correctly, you must continue to comply with our sickness absence and notification procedures. In particular, you must notify us of your continued incapacity in good time, and you must provide acceptable evidence of incapacity, namely self-certification for absences of seven calendar days or fewer and a fit note (statement of fitness for work) from a doctor or other approved healthcare professional for any absence exceeding seven calendar days. A failure to provide the required evidence or notification, without good cause, may affect your entitlement to SSP and to any contractual sick pay.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"a571fc40-59f1-4eef-b123-4d83710d458b","order":36,"text":"If you disagree with this decision","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"d0dd8924-998a-43a4-875a-450aa259b386","order":37,"text":"If you consider that this decision is incorrect, please contact us in the first instance, in writing, setting out the grounds on which you disagree and enclosing any supporting information, so that we may review the matter. If, after our review, you remain dissatisfied, you have the right to ask HM Revenue & Customs (HMRC) to make a formal decision on your entitlement to SSP. HMRC's Statutory Payment Disputes Team can be contacted on 0300 322 9422. We will provide any information reasonably required to enable that decision to be made.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"654fb6b6-641a-476d-bf36-76eda8f6a2e1","order":38,"text":"Use of your personal data","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"6d52553e-1619-4744-b3e3-60147ed84865","order":39,"text":"The information relating to your health and absence that we hold for the purpose of administering SSP constitutes special category personal data. We process it only as necessary to comply with our legal obligations and to administer your employment, in accordance with the UK General Data Protection Regulation and the Data Protection Act 2018, and we retain it only for as long as required. Further details are set out in our privacy notice for employees.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"4597b164-6057-4213-940c-cc309a155dec","order":40,"text":"This letter is provided to confirm the position in writing for the avoidance of doubt and for payroll, handover and planning purposes. It does not vary the terms of your contract of employment, and nothing in it should be read as creating any entitlement beyond that conferred by statute and by your contract. If anything in this letter is unclear, or if your circumstances change, please contact [Contact name] on [Contact telephone or email] as soon as possible.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"3b56b698-0e3b-4afb-9ba4-bbf9293e84ad","order":41,"text":"Yours sincerely,","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"40","cflou":false,"active":true},{"id":"f259fca2-31ec-4537-b6a0-a5a3c0637fe5","order":42,"text":"[Name of signatory]","fontSize":"14","textAlign":"left","bold":true,"underline":false,"marginBottom":"0","cflou":false,"active":true},{"id":"4f3c7152-c260-4de8-b784-723e07accb7c","order":43,"text":"[Job title of signatory]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"0","cflou":false,"active":true},{"id":"20ac87ea-4a86-4330-a804-d7e8345fee9b","order":44,"text":"For and on behalf of [Employer / Company name]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"9dde3958-1e44-4072-adcb-cbc789e17358","order":45,"text":"Enclosure: form SSP1.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"dd02dc49-b308-4944-8330-0dc53eaad979","value":"Eligible","type":"remove","operator":"="}]}]