docs.templates.ssp-claim.name

docs.templates.ssp-claim.description

Daten ausfüllen

Employer Name

Employer Address

Your Full Name

Your Address

National Insurance Number

First Day of Sickness

Last Day of Sickness

Reason for Sickness

Vorschau

[Employer Name]

[Employer Address]

19.10.2026

Dear [Employer Name],

Statutory Sick Pay (SSP) Claim — SC2 Employee Statement

I am writing to notify you that I have been incapable of work due to illness and wish to claim Statutory Sick Pay (SSP).

EMPLOYEE DETAILS

Full name: [Your Full Name]

Address: [Your Address]

National Insurance number: [NI Number, e.g. AB123456C]

SICKNESS DETAILS

First day of sickness: [First day you were sick, e.g. 01/09/2026]

Last day of sickness: [Last day you were sick, or 'ongoing' if still sick]

Reason for sickness: [Brief reason, e.g. 'Influenza', 'Back injury']

I confirm that:

1. I have been incapable of work on the dates stated above;

2. I have not worked for any other employer during this period;

3. I am not receiving any other sickness benefit;

4. The information I have given is true and accurate.

I understand that SSP is payable from the 4th qualifying day of sickness at the current rate of GBP 116.75 per week (2025/26 rate) for up to 28 weeks.

I will provide a fit note from my GP if my sickness lasts more than 7 days.

Yours sincerely,

_________________ / [Your Full Name] /

Über Ssp Claim

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