Additional Sick / Fit Note

Requesting an additional Sick / Fit Note

If you have already had a Sick Note (Fit Note) for this illness your Doctor may not need to see you to issue an additional Sick Note. Please complete this form. We will contact you to let you know when you can collect your Sick/Fit Note or we may contact you to arrange an appointment.

Your Details

Date of Birth
Email Address

Additional Sick/Fit Note

First date you were not at work due to this illness