Model documents and policies
Downloadable and customisable documents relating to sickness absence.
Form declaring fitness for work

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This form is for employees to declare their fitness to return to work following sickness absence, including any advice or recommendations from their doctor.
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Consent to a medical examination form

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This form is for an employee to give their consent to a medical examination at the Company's expense.
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Form for return to work interview following sickness

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This form is to record the interview of an employee by their manager on their return to work following a period of sickness absence, and to record whether or not this absence is authorised.
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Letter confirming a meeting with absent employee after doctors appointment

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This letter can be used to arrange a meeting with an employee who is absent due to sickness, after they have been to an appointment with their doctor.
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Letter confirming a meeting with employee during long-term absence

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This letter should be sent to an employee who is on long-term absence to confirm a meeting to discuss the reasons for the employee’s absence, its likely duration and to discuss the possible outcomes of an extended absence. The letter confirms the date, time and location of the meeting but also explains that if the employee feels too unwell to attend the meeting can take place in their home.
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Letter confirming the outcome of a meeting to discuss long-term sickness absence

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This letter can be sent to an employee following a meeting to discuss long-term absence. It covers the details discussed at the meeting and further actions that are planned.
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Letter inviting an employee to attend a meeting on their return to work following a period of sickness absence

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This letter invites an employee to a meeting, on their return to work, to discuss their recent sickness absence and any medical report/recommendations.
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Letter requesting an employee attend a medical examination

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This letter asks an employee on sickness absence to attend a medical examination at the company's expense. The letter outlines the date, time and location of the appointment and confirms the aim of the medical examination. This letter should be sent with the form asking an employee to consent to a medical examination.
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Letter requesting an employee attend a medical examination before returning to work following absence

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This letter invites an employee to attend a medical examination before returning to work after a period of absence. The letter explains that the aim of the medical examination is to gain a greater understanding of the employee’s current medical condition, to ensure that they are fully fit to return and to assist in the identification of any reasonable adjustments. The letter also asks the employee to complete a pro forma; you can make use of the 'Consent to a medical examination' form included on this page for this purpose.
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Letter terminating employment due to long-term sickness absence

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Where an employee is continually absent due to ill health this letter confirms that their employment is terminated. It refers to meeting(s) held with the employee and that no alternative duties, adjustments or support can be adopted to facilitate a return. The employee is informed that they can appeal.
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Letter to a GP requesting a medical report on an employee on long-term sick leave

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This letter is to ask a doctor to provide a medical report on an employee with long-term sickness absence, asking their opinion of the medical condition, its likely duration and how it will affect the employee.
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Letter to a GP requesting a medical report on an employee who has persistent short-term sickness absence

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This letter is to ask a doctor to provide a medical report on an employee with persistent short-term sickness absence, asking their opinion of the medical condition and how it will affect the employee.
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Letter to an employee requesting permission to apply to a medical practitioner for a medical report

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This letter requests permission from an employee to apply to a medical practitioner for a medical report regarding their state of health or medical condition.
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Sickness absence policy

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This policy includes details on notification and certification, return to work, medical examination, access to medical reports, extended absences, meetings, disability, dismissal and payments.
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Sickness absence policy.docx69.99 KB
Form for an employee to give employer consent to gain medical report

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This form can be used for an employee to provide consent to the employer to obtain a medical report as part of a sickness absence management system.
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Letter to employee regarding failure to provide medical certificates

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Use this letter to send to an employee who is absent but has not provided medical certificates to cover the absence. It confirms that the absence will be treated as unauthorised and encourages the employee to get in touch.
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