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Statutory Sick Pay Ssp Form

Statutory Sick Pay Ssp Form Template for Ireland

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Statutory Sick Pay Ssp Form

"I need a basic Statutory Sick Pay SSP Form that complies with Irish legislation for my small retail business of 15 employees, with clear sections for both self-certified and doctor-certified illnesses."

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Document background
The Statutory Sick Pay (SSP) Form is a critical document used in Ireland to manage and process employee sick leave entitlements under the Sick Leave Act 2022. This form became essential when statutory sick pay was introduced in Ireland in January 2023, requiring employers to provide sick pay for up to 3 days in 2023 (increasing progressively to 10 days by 2026). The document serves multiple purposes: it records the employee's sick leave request, captures necessary medical verification, calculates SSP entitlement, and maintains proper records for compliance and payroll purposes. The form is designed to ensure that both employers and employees have clear documentation of sick leave periods, associated payments, and remaining entitlements, while adhering to Irish employment law and data protection requirements.
Suggested Sections

1. Employee Details: Essential personal and employment information including name, employee ID, PPS number, department, and start date of employment

2. Absence Information: Details of the sick leave period including start date, expected end date, and type of illness (if disclosed)

3. Medical Certification: Section for medical practitioner details and certification information for absences over 3 days

4. SSP Entitlement Calculation: Calculation of SSP due, including daily rate of pay and number of days covered

5. Previous Sick Leave Record: Record of sick leave taken in the current year to verify remaining entitlement

6. Declaration: Employee declaration confirming the truth of information provided and consent for data processing

7. Employer Verification: Section for employer to confirm receipt, approval, and processing of the sick leave request

Optional Sections

1. Return to Work Arrangements: Used when specific arrangements are needed for the employee's return to work, such as phased return or workplace adjustments

2. Additional Benefits: For cases where the employer offers sick pay benefits above the statutory minimum

3. Social Welfare Benefits: Required when the absence extends beyond SSP coverage period and illness benefit may apply

4. Occupational Health Referral: Used when an occupational health assessment is required for long-term or frequent absences

Suggested Schedules

1. SSP Rate Calculator: Detailed breakdown of SSP calculation including daily rate and maximum entitlement

2. Medical Certificate Template: Standard template for medical practitioners to complete when certifying illness

3. Employee Rights Information: Summary of employee rights and obligations under the Sick Leave Act 2022

4. Privacy Notice: GDPR-compliant notice explaining how personal and medical information will be processed and stored

Authors

Alex Denne

Head of Growth (Open Source Law) @ ºÚÁÏÊÓƵ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

alex.den.21@genieai.co
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Healthcare

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Relevant Roles

HR Manager

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Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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