Form

Employer form SSP1: Statutory Sick Pay and an employee's claim for benefit

Employers must fill in the SSP1 form when an employee is not entitled to Statutory Sick Pay (SSP) or when their SSP is ending.

Applies to England, Scotland and Wales

Documents

Details

If you are an employee

If you work for an employer, find out how to claim Statutory Sick Pay.

If you are an employer

You can either:

  • download the form, fill it in on screen and then print it
  • download the form, print it and fill it in with a pen

When you have completed this form, you must give the form to your employee. They can then make a claim for benefit.

Find out more about Statutory Sick Pay and when to use the SSP1 form through the Statutory Sick Pay (SSP): employer guide.

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Published 1 April 2012
Last updated 22 October 2021 + show all updates
  1. Added an updated version of the SSP1 form in Welsh.

  2. Added an updated version of the SSP1 form in English.

  3. Added December 2020 version of the Welsh SSP1 form that you can fill in online.

  4. Added updated version of the SSP1 form.

  5. Added revised 'Statutory Sick Pay: employee not entitled - form for employers - print and fill in with a pen and interactive', English (SSP1) and Welsh (SSP1W) versions. All forms are still dated 01/19.

  6. Added updated versions of the forms.

  7. Added revised 'Statutory Sick Pay: employee not entitled - form for employers - print and fill in with a pen', English (SSP1) and Welsh (SSP1W) versions. Both forms are still dated 01/19.

  8. Added revised Statutory Sick Pay: employee not entitled - form for employers - print and fill in with a pen (SSP1) English and Welsh versions.

  9. Added revised Statutory Sick Pay: employee not entitled – form for employers - fill in on screen (SSP1). Added new SSP1 Welsh - fill in on screen.

  10. First published.