Global Life Guide

Sick Leave and Medical Notes in the United Kingdom

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Know when to use a self-certification sick note, when to get a doctor’s fit note, and how to notify your employer in the UK.

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Quick answer

For up to 7 days off work in the UK, use a self-certification form. After 7 days, get a doctor’s fit note and send it to your employer.

Your next steps

  1. Send the fit note or self-certification to your employer promptly.
  2. Keep any medical advice or appointment records in case of later questions.
  3. Review related guides on worker rights and supporting documentation.
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Before applying, paying a fee, travelling, or submitting documents, confirm the latest requirements with the responsible official authority. Rules, fees, forms, deadlines, and office procedures can change.

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Who this is for

This guide is for employees and contractors in the UK who need to take sick leave and understand the required paperwork.

Checklist

Templates

Sick leave notification

I am unwell and unable to attend work from [start date] to [estimated return date]. I will update you if this changes and will provide a fit note if my absence exceeds 7 days.

Self-certification for the first week

In the UK, you do not need a doctor’s note for the first 7 calendar days of sickness. Use a self-certification form from your employer or HMRC to explain your absence.

Fit note after 7 days

If you are ill for more than 7 days, get a fit note from a GP or authorised clinician. Send this to your employer to support statutory sick pay and absence handling.

What employers can ask for

Your employer can ask whether you are fit for work, but not for specific medical details. The fit note can state whether any adjustments would help you return to work.

Keeping medical records

Keep a note of your symptoms, dates off work, and any medical advice you receive. This can help if your employer requests additional evidence later.

Returning to work safely

If your fit note recommends adjustments, discuss them with your employer. A phased return or temporary changes can be part of a safe recovery plan.

Required documents or information

Common mistakes

FAQ

Related guides

Same topic in related countries

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Editorial note

This guide distills UK sick leave steps into employer notification and documentation requirements.

Last updated 2026-05-31 · Sources checked 2026-05-30.

Disclaimer: This page is practical information only. It is not legal, immigration, financial, medical, or official government advice. Rules, fees, deadlines, and procedures can change.

Independent practical guides. Official source links where available. No account required. Always confirm final requirements with the responsible authority.