Requesting an extension to your sick note

To request an extension to your current sick note, please fill out the following form.

Requesting an extension to your sick note

To request an extension to your current sick note, please fill out the following form.

Please provide your full name *

Please provide your date of birth *

Has there been any change to your cirucmstances? *

When does your current sick line run out? *

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Page last reviewed: 22 October 2025

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