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How do I fill this out?
To fill out the SSP form, begin by entering your personal information like name and National Insurance number. Next, provide details on your sickness, including start and end dates. Finally, ensure you sign the form and give it to your employer.

How to fill out the Statutory Sick Pay Employee Statement of Sickness?
1
Enter your surname, first names, and title.
2
Provide your National Insurance number and date of birth.
3
Document the start and end dates of your sickness.
4
Fill in the date you last worked before your sickness.
5
Sign and date the form before submitting it.
Who needs the Statutory Sick Pay Employee Statement of Sickness?
1
Employees who have been sick for four days or longer.
2
Employers needing to verify employee sickness for SSP.
3
Individuals looking to claim Social Security benefits.
4
Workers affected by industrial diseases needing documentation.
5
Anyone disputing their SSP entitlement who requires formal records.
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1
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2
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What are the instructions for submitting this form?
Submit completed forms directly to your employer to initiate the SSP claim process. Ensure you keep a copy for personal records. Contact your HR department for specific submission methods, as they may vary by employer.
What are the important dates for this form in 2024 and 2025?
For 2024 and 2025, Be aware of your employer's deadlines for submitting SSP claims. Specific dates may vary based on individual circumstances, so check with your HR department for precise information.

What is the purpose of this form?
The Statutory Sick Pay (SSP) form is designed to assist employees in reporting their sickness to qualify for pay during illness. It should be filled out accurately to ensure proper processing by employers. This form acts as crucial documentation for verifying entitlement to sick pay.

Tell me about this form and its components and fields line-by-line.

- 1. Surname or Family Name: The employee's last name.
- 2. First Name(s): The employee's given names.
- 3. Title: The employee's title, such as Mr., Mrs., etc.
- 4. National Insurance Number: A unique identifier for the employee.
- 5. Date of Birth: The employee's birth date.
- 6. Sickness Start Date: The date when the employee's sickness began.
- 7. Sickness End Date: The date when the sickness ended.
- 8. Last Work Date: The last day the employee worked before falling sick.
- 9. Time Finished: The time the employee finished work on their last working day.
- 10. Signature: The employee's signature to validate the form.
What happens if I fail to submit this form?
Failure to submit the SSP form can result in delayed or denied sick pay. Employees risk not receiving their entitled payments for the period of illness. Additionally, unresolved issues may lead to complications with employers and potential disputes.
- Delays in Sick Pay: Not submitting the form on time can lead to delays in receiving sick pay.
- Employer Disputes: Failure to provide documentation may lead to disagreements with employers.
- Ineligibility for Benefits: Delayed submission may affect your eligibility for Social Security benefits.
How do I know when to use this form?

- 1. Claiming Statutory Sick Pay: To report your sickness and claim sick pay from your employer.
- 2. Documenting Illness: To formally document your time off due to sickness.
- 3. Applying for Additional Benefits: To provide evidence when applying for other social benefits.
Frequently Asked Questions
How do I fill out the SSP form?
To fill out the SSP form, enter your personal information and details about your sickness.
Where can I submit the SSP form?
The completed form should be submitted to your employer.
Can I edit the SSP form on PrintFriendly?
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After editing, you can download the modified document directly.
Is the SSP form free to use?
Yes, using PrintFriendly to edit and download your SSP form is free.
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You can easily add any extra information during the editing process.
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Is there a limit to how many times I can edit?
No, you can edit the PDF as many times as you need without restrictions.
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Use the electronic signature tool within PrintFriendly for valid signatures.
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