SSP Claim

Claim for Statutory Sick Pay

Джерело та перевірка

Правова основа: Statutory Sick Pay (General) Regulations 1982

Fill in the details

Employer Name

Employer Address

Your Full Name

Your Address

National Insurance Number

First Day of Sickness

Last Day of Sickness

Reason for Sickness

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[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] /

About Ssp Claim

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