If you have been ill for more than 7 days you will need a doctor’s certificate.
These certificates are called ‘Fitness To Work’ Certificates.

The doctor may call you or arrange for an appointment.

If you have already been seen by your Doctor about this illness your certificate will be sent to you within a week.

Sick / Fit Note Request

If you are human, leave this field blank.

Full Name: *

Date of Birth: *

Please use this date format: DD/MM/YYYY. Your date of birth is required to verify your identity.

Phone Number:

Email Address: *

This email address will be used for all correspondence relating to this request. Please be aware that if anyone else has access to this email address that they may see responses sent to you.

First date you were not at work due to this illness:

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

The date you expect to return to work:

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

Total number of days you expect to be unable to work:

Describe your illness and why you need a Sick / Fit Note: