Doctor’s Sick / Fit Note for more than 7 days

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

Sick / Fit Note Request

If the start date for this sick note is 3 or more days after today's date, the request will be rejected. Please return to this form at a later date. Please also note that we cannot 'forward date' sick notes.

Please use this date format: DD/MM/YYYY.
Are you requesting a: *