Staff Sickness Absence Declaration (employee to complete)You must complete this form after any absence.In addition, for absences lasting longer than 5 days, you will be invited to a Return to Work meeting.For absences lasting longer than 7 days (i.e. from the eighth day of absence) a Statement of Fitness to Work Certificate (Drs note) is required.
DECLARATIONIn submitting this form, I confirm that:- I have been incapable of working for the reason and dates shown above and that this information is true and accurate.I acknowledge that false information will result in disciplinary action.I hereby give my employer permission to verify the above information.I am aware that I may be called to discuss this in further detail.