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Getting a fit note

If you're unwell and cannot work, you may need a fit note (sometimes called a sick note) for your employer.

When you need a fit note

You might need a fit note if you're unwell and cannot work for more than 7 days, including weekends and bank holidays.

You do not need a fit note if you cannot work for 7 days or less.

A fit note can support you to return to work or stay in work. You can also use your fit note to help you claim benefits or statutory sick pay (SSP).

How to get a fit note

You can ask for a fit note from a healthcare professional supporting your care.

Healthcare professionals who can provide fit notes are:

  • doctors
  • nurses
  • pharmacists at GP surgeries, hospitals and clinics
  • physiotherapists
  • occupational therapists

The healthcare professional will talk with you in person or on the phone. They will assess whether you’re “not fit for work” or ”may be fit for work” with support from your employer.

If your employer cannot offer the support advised by a healthcare professional, then the fit note is treated as though it says you're “not fit for work”.

Going back to work

You should go back to work as soon as you feel able to.

Talk to your employer if you feel well enough to return to work before the end date on your fit note, for example if:

You do not need to see a healthcare professional again to go back to work. Your employer may ask for confirmation that you’re fit for work, but healthcare professionals do not have to provide this.

Depending on your job, you may need to meet other requirements before you can return to work after being ill.

For example, Driver and Vehicle Licensing Agency (DVLA) rules will apply if you drive a large vehicle like a lorry or bus.

Find out more about driving with a medical condition or disability on GOV.UK

Charges for a fit note

You do not need to pay for a fit note if you're off sick for more than 7 days.

If your employer asks for evidence for the first 7 days of sickness, a healthcare professional may charge a fee for this. Your employer should pay the fee.

Page last reviewed: 29 July 2024
Next review due: 29 July 2027