What Does a Sick Note Look Like?
See an example of a professionally formatted UK self-certification sickness note below.
UK Self-Certification Sickness Note
This is an example of what your document will look like. The actual certificate you generate will be unblurred and include your specific details.
SICKNESS CERTIFICATE
Statement of Fitness for Work
Certificate No: SC-99476550
CONFIDENTIAL
Patient Details
Full Name:John Smith
Employer:ABC Company Ltd
⚕ Clinical Assessment
After assessment, I advise that:
☐ You are NOT FIT for work
Patient is unfit to carry out normal work duties
Period of Incapacity
Diagnosis / Condition
Certification
I certify that on the date stated below I assessed this patient and, taking account of the information provided by them, I conclude that they are not fit for work for the period indicated above.
Certified By (Self-Declaration)
John Smith
Date
24/11/2025
This is a self-certification document valid for sickness absences up to 7 calendar days under UK Employment Law. Employers are required to accept self-certification for statutory sick pay purposes. For absences exceeding 7 days, a medical Statement of Fitness for Work from a registered practitioner is required.
What Information Is Included?
Personal Details
- Your full name
- Your employer's name
Absence Period
- Start date of sickness
- End date (or expected return)
- Total days absent
Medical Information
- Reason for absence
- Brief symptom description (optional)
- Certification statement
Official Elements
- Certificate number
- Date of certification
- Your signature
- Legal disclaimer
Professional Formatting
Our sick notes are formatted to look official and professional, including:
- NHS-style clinical layout
- Professional typography
- Clear section headings
- Organized information blocks
- Medical certification language
- Legal compliance footer
- Confidential marking
- Unique certificate number
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