A form for employers to fill in and give to employees who aren't entitled to Statutory Sick Pay.
PDF, 73.9KB, 6 pages
Ref: SSP1 print
PDF, 50.1KB, 6 pages
PDF, 118KB, 6 pages
This form is for employers to fill in and give to employees who aren’t entitled to Statutory Sick Pay. The notes on the form explain how to fill it in and where to send it.
Go to www.gov.uk/employers-sick-pay for information for employers about Statutory Sick Pay.
1 April 2012
Department for Work and Pensions
Statutory pay forms
Statutory Sick Pay and Leave
Don’t include personal or financial information like your National Insurance number or credit card details.