Form

Employer form SSP1: 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: 20 September 2022 — See all updates

Applies to England, Scotland and Wales

Documents

Employer form: employee not entitled to Statutory Sick Pay

Ref: SSP1

PDF, 186 KB, 5 pages

Details

If you are an employee

If you work for an employer, find out how to claim Statutory Sick Pay.

If you are an employer

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.

If you need this form in a different format

Contact Jobcentre Plus to ask for:

• a printed copy of the form
• a different format, such as large print, braille or audio CD

Published 1 April 2012
Last updated 20 September 2022 + show all updates

1. 20 September 2022

   Added the September 2022 version of the SSP1 form.

2. 22 October 2021

   Added an updated version of the SSP1 form in Welsh.

3. 7 October 2021

   Added an updated version of the SSP1 form in English.

4. 20 January 2021

   Added December 2020 version of the Welsh SSP1 form that you can fill in online.

5. 11 January 2021

   Added updated version of the SSP1 form.

6. 6 March 2020

   Added revised 'Statutory Sick Pay: employee not entitled - form for employers - print and fill in with a pen and interactive', English (SSP1) and Welsh (SSP1W) versions. All forms are still dated 01/19.

7. 18 February 2020

   Added updated versions of the forms.

8. 3 May 2019

   Added revised 'Statutory Sick Pay: employee not entitled - form for employers - print and fill in with a pen', English (SSP1) and Welsh (SSP1W) versions. Both forms are still dated 01/19.

9. 12 February 2019

   Added revised Statutory Sick Pay: employee not entitled - form for employers - print and fill in with a pen (SSP1) English and Welsh versions.

10. 11 February 2019

    Added revised Statutory Sick Pay: employee not entitled – form for employers - fill in on screen (SSP1). Added new SSP1 Welsh - fill in on screen.

11. 1 April 2012

    First published.