Sick (fit) note request

Sick / Fit Note Request

Have you already had a sick note for this illness?

Yes

Date your illness started:

Please use this date format: DD/MM/YYYY

Number of days you were ill/Length of sick note required:

Include holidays and weekends, not just days off work.

Start date required for sick note:

Please use this date format: DD/MM/YYYY

End date required for sick note:

Please use this date format: DD/MM/YYYY

Describe your illness and why you need a sick note:

Can we contact you by email?

Yes

Can we contact you by text message?

Yes

Please note that the details you give will be used to update your medical records.

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