Uncertified sick leave letter template

£ 15

Use this model uncertified sick leave letter to request that an employee submits a medical note for their absence, and highlight that their sick leave is unauthorised without it.

What is this letter for?

The purpose of this Uncertified sick leave letter template is to provide you with a flexible and customisable document to serve as a robust and effective starting point for you.

By using our Uncertified sick leave letter template, you can streamline your process, maintain consistency and accuracy, and save time, and it can be easily adapted to fit your specific scenario.


Reading time icon
Time to read / prep / use
5 mins
Document specs icon
Word count / length
435 words, 2 pages A4
Date last reviewed icon
Date last reviewed
1 June 2024
uncertified sick leave letter template

Uncertified sick leave

[Company name]

[Sender address]



[Recipient name]

[Recipient address]


Dear [Recipient first name],

We have written to you on two recent occasions on [dates of previous letters] regarding your absence from work because of [sickness/injury] [since [date]/from [date] to [date]], asking you to submit a doctor's statement of fitness for work to cover your absence. However, you have not responded to either letter, nor have you provided a doctor's statement. Your absence from work [has, as of the date of this letter, lasted for [state number of days/weeks since the start of the employee's absence]/lasted for [number] days]. We are concerned that you have failed to provide a doctor's statement, and that you have not made contact with us, despite our requests.

In our last letter to you, dated [date], we informed you that, if you did not respond to the letter or provide a doctor's statement of fitness for work to cover your absence by [date given in last letter for the employee to respond], we would have no option but to treat your absence as unauthorised and instigate disciplinary action against you. We enclosed a copy of our disciplinary procedure with that letter [with the relevant sections highlighted]. We also invited to you to contact us if there are any extenuating circumstances regarding your absence.

Unfortunately, we have still not heard from you, nor received a doctor's statement covering your period of absence. We must therefore regard your absence as an unauthorised absence.

Accordingly, we would like to invite you to attend a disciplinary hearing at [time] on [date] at [place], which will be held under our disciplinary procedure. The interview will be conducted by [name of manager] [and [name of other person] will also be present].

The purpose of the interview will be to discuss your absence from work and the reason why you have failed to provide a doctor's statement and failed to respond to our letters. We believe that this may constitute gross misconduct under [Company]’s disciplinary procedure.

You may, if you wish, bring a colleague or trade union representative of your choice to the interview either to represent you or to act as a witness.

Depending on the facts established at the interview, the outcome could be disciplinary action up to and including summary dismissal (i.e. dismissal without notice or pay in lieu of notice), but no decision will be made until you have had a full opportunity to explain your conduct and the interview has been concluded. If there are mitigating circumstances, we will of course take these into account.

I look forward to having the opportunity to discuss your circumstances with you at the interview.

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Yours [faithfully | sincerely],



[Sender name]

[Sender job title]

[Sender telephone]
[Sender email]

Why choose our Uncertified sick leave letter template?

Our content:

Is easy to edit and execute, with comprehensive implementation guidance.
Is designed by accredited, experienced HR practitioners.
Maintains your compliance with ACAS guidelines, legislation, and industry best practices.
Includes 12 months access to your purchase, with email alerts if updated or expanded.

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