Sc2 Self Certification Form
Sc2 Self Certification Form
Sc2 Self Certification Form
If you can get Statutory Sick Pay, your employer will pay you
• any Post Office (except in Northern Ireland).
If you cannot get Statutory Sick Pay, your employer will give
you are sick, visit www.direct.gov.uk or ring the Benefit
you form SSP1 to tell you why. You can use form SSP1 to
Enquiry Line for people with disabilities. The phone call is free.
Autum 2008).
If you have any problems with hearing or speaking and use
If you disagree with your employer you can ask HM Revenue
a textphone, ring 0800 243 355 or in Northern Ireland
& Customs for a decision about your entitlement.
0800 243 787. The phone call is free.
If you have changed jobs If you do not have your own textphone system, they are
If you have: available to use at the Citizens Advice Bureau and
• changed jobs within the last 8 weeks, and main libraries.
• received at least one week’s SSP from your old employer in
Working Tax Credit (WTC) helps people with an illness or
the 8 weeks before this current spell of sickness (odd days
disability to return to, or take up, work by topping up earnings.
of SSP may count), the SSP from your old employer can be
It is a tax credit for people on low to middle incomes who are
counted towards your 28 weeks maximum SSP payment.
working 16 hours or more a week and who have an illness or
This means you may be able to transfer to a higher rate of
disability which puts them at a disadvantage in getting a job.
Incapacity Benefit (or Employment and Support Allowance
for new customers from Autum 2008) earlier. For further information on claiming WTC contact your nearest
Jobcentre Plus office.
Ask your old employer to fill in form SSP1(L) Leaver’s
statement of SSP. Give form SSP1(L) to your new employer, it If you want to know more about SSP, contact your nearest
will help them to make sure that you get the right amount of HM Revenue & Customs office. You can find the phone number
Statutory Sick Pay and that you transfer to Incapacity Benefit in The Phone Book under ‘Inland Revenue’ or ‘HM Revenue
(or Employment and Support Allowance for new customers & Customs’.
from Autum 2008) at the right time.
Please turn over
Title - enter MR, MRS, MISS, MS, or other title Was your sickness caused by an accident at work or an
industrial disease?
Date DD MM YYYY
Page 2