Sick Form Template UK

The Sick Form Template UK is offered in several formats, including PDF, Word, and Google Docs, and features customizable and printable samples.

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Sample

Sick Form Template UK

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PDF – 1 PDF – 2

Sick Leave Form Template UK

1. Employee Information

2. Sick Leave Details
Start Date of Sick Leave:
Expected End Date of Sick Leave:

3. Medical Certification
Attach Medical Certificate:

4. Employee Responsibilities

5. Supervisor/Manager Information

6. Acknowledgment and Signatures

7. Confirmation of Receipt
I confirm that I have received this sick leave notice and that it will be recorded in the employee’s file.

Date:

Employee’s Signature:

Manager’s Signature:

PDF

WORD

Examples

Sick Form Template UK (1)

Employee Details:
[Employee’s Full Name]
[Employee’s ID Number]
[Employee’s Department]
[Employee’s Position]
[Employee’s Contact Information]

Date of Absence:
From: [Start Date]
To: [End Date]

Reason for Absence:
[Detailed explanation of the illness or condition]. This includes the nature of the illness, any medical diagnosis, and the required recovery time.

Medical Recommendation:
[Details of any medical advice received, including doctor’s notes or referrals].

Clause 1: Eligibility for Sick Leave
This form serves to request sick leave in accordance with the company’s policies, as detailed in the Employee Handbook.

Clause 2: Notification Procedure
The Employee must inform their line manager or HR department as soon as possible regarding their illness, preferably within the first day of absence.

Clause 3: Evidence Requirement
For absences longer than [Specify Number of Days], a medical certificate may be required to validate the sick leave.

Clause 4: Return to Work
The Employee must provide confirmation from a healthcare provider regarding their fitness to return before resuming duties, especially following an extended leave.

Signed in [City], [Date].

Sincerely,
[Signature of the Employee]
[Name of the Employee]

Sick Form Template UK (2)

Employee Information:
[Employee’s Full Name]
[Employee’s Employee Number]
[Department/Team Name]
[Position/Job Title]

Dates of Sick Leave:
From: [Start Date]
To: [End Date]

Reason for Absence:
[Brief and clear explanation of the illness, including any doctor’s diagnosis if applicable].

Medical Evidence:
[Any supporting documentation attached, such as a doctor’s note or appointment letter].

Clause 1: Company Sick Leave Policy
This sick form is submitted in accordance with the company’s sick leave policy as outlined in the Employee Manual.

Clause 2: Communication of Absence
Employees are required to notify their immediate supervisor or HR department of their absence as soon as they are able to do so.

Clause 3: Required Documentation
For periods of absence exceeding [Specify Number of Days], a doctor’s certificate must be submitted to validate the leave.

Clause 4: Follow-up and Recovery
Employees should keep their supervisor informed of their recovery process and provide any necessary updates regarding their ability to return to work.

Signed in [City], [Date].

Best regards,
[Signature of the Employee]
[Name of the Employee]

Printable

PDF – 1 PDF – 2