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How do I fill this out?
To fill out this form, start by providing your personal information in the 'About you' section. Next, detail the dates of your sickness, including the start and end dates. Finally, review your information and submit it to your employer for SSP consideration.

How to fill out the Statutory Sick Pay (SSP) Employee's Statement?
1
Fill in your personal information like name and National Insurance number.
2
Provide the start and end dates of your sickness.
3
Indicate whether the sickness was due to a workplace accident.
4
Sign the form and include the date.
5
Submit the completed form to your employer.
Who needs the Statutory Sick Pay (SSP) Employee's Statement?
1
Employees who have been sick for four days or more.
2
Individuals seeking to claim Statutory Sick Pay (SSP).
3
Workers affected by workplace accidents.
4
Anyone needing to submit a medical certificate.
5
People looking for guidance on sick leave.
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What are the instructions for submitting this form?
To submit the completed Statutory Sick Pay (SSP) Employee's Statement form, provide it directly to your employer. Ensure you keep a copy for your records. Employers may require further documentation, so be prepared with any medical certificates or additional forms if requested.
What are the important dates for this form in 2024 and 2025?
Important dates for the Statutory Sick Pay (SSP) form include any updates from HM Revenue & Customs in 2024 and 2025 regarding legal regulations or submission deadlines. Keep an eye out for annual changes or amendments to sick pay guidelines that may affect eligibility and claims. Always refer to the official HMRC website for the latest information.

What is the purpose of this form?
The purpose of the Statutory Sick Pay (SSP) Employee's Statement form is to enable employees to formally report their sickness status and claim SSP. By completing this document accurately, employees ensure they receive the financial support they're entitled to during periods of illness. This form serves as an essential communication tool between employees and employers regarding health-related absences.

Tell me about this form and its components and fields line-by-line.

- 1. Surname or family name: Your last name for identification.
- 2. First name(s): Your first name as per official documents.
- 3. Title: Your title (MR, MRS, MISS, MS).
- 4. National Insurance number: Your unique National Insurance ID.
- 5. Date of birth: Your birth date in DD MM YYYY format.
- 6. Clock or payroll number: Your employee ID for payroll systems.
- 7. About your sickness: Brief details of your sickness.
- 8. Start date of sickness: When your sickness began.
- 9. End date of sickness: When your sickness ended.
- 10. Last working date: The last date you worked before sickness.
- 11. Finish time of work: The time you ended work on the last working day.
- 12. Accident at work: Specify if the sickness was due to an accident.
- 13. Signature: Your name signed confirming the information.
- 14. Date: Date of signing the form.
- 15. Phone number: Your contact information.
What happens if I fail to submit this form?
Failing to submit the Statutory Sick Pay (SSP) Employee's Statement can result in delays in accessing your entitled benefits. Employers need this form to assess your eligibility for SSP and without it, your claim may be denied.
- Delay in Payment: Inability to receive sick pay during your absence.
- Employer's Decision: Lack of documentation can lead to unfavorable decisions by your employer.
- Loss of Benefits: Missing out on potential support during your period of illness.
- Increased Stress: Not having the necessary support may increase your stress while recovering.
- Compliance Issues: Failure to comply with employer requirements may lead to further complications.
How do I know when to use this form?

- 1. Claim SSP: Use the form to officially request Statutory Sick Pay from your employer.
- 2. Document Sickness: Provide evidence of your illness and its duration.
- 3. Communicate with Employer: Inform your employer about your absence due to sickness.
- 4. Request Medical Certification: May require a doctor's certificate if absent for longer than seven days.
- 5. Clarify Accident Impact: Document any workplace accidents influencing your sickness.
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How do I submit my completed form?
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Refer to the instructions provided for guidance on each section of the form.
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