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SSP1 form: Statutory Sick Pay and an employee's claim for benefit (22 October 2021)

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SSP1 form: Statutory Sick Pay and an employee's claim for benefit

Employers must fill in the SSP1 form when an employee is not entitled to Statutory Sick Pay (SSP) or when their SSP is ending.

From:
Department for Work and Pensions
Published
1 April 2012
Last updated
22 October 2021 — See all updates

Applies to England, Scotland and Wales

Documents

Employee not entitled to Statutory Sick Pay: form for employers

Ref: SSP1PDF, 669KB, 5 pages

Details

You can either:

  • download the form, fill it in on screen and then print it
  • download the form, print it and fill it in with a pen

When you have completed this form, you must give the form to your employee. They can then make a claim for benefit.

Find out more about Statutory Sick Pay and when to use the SSP1 form through the Statutory Sick Pay (SSP): employer guide.

Request an accessible format

If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email accessible.formats@dwp.gov.uk.

Tell us:

  • what format you need
  • what assistive technology you use
  • what form or document you need

Published 1 April 2012
Last updated 22 October 2021 


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