Statutory Sick Pay Ssp Record Sheet printable pdf download

Statutory Sick Pay Ssp Record Sheet

Statutory Sick Pay (SSP)

record sheet

About this form

More information

This form is for employers to use to record details of their

For more information see the E14 Employer Helpbook

employee's Statutory Sick Pay (SSP). You must keep these details.

for Statutory Sick Pay which is available on the HMRC Basic

PAYE Tools.

Keeping an accurate record of each absence will help make sure

you pay the correct amount of Statutory Sick Pay (SSP) for the

If you need help with this form or with the SSP scheme,

correct period.

you can phone the Employer Helpline on 08457 143 143.

You do not have to use this form, but you may find it helpful.

You must keep SSP records for at least three years after the end

of the tax year to which they relate.

You are required by law to keep:

• records of dates of sickness lasting at least four days in a row,

that is Periods of Incapacity for Work (PIW), reported

by your employees, and

• records of all payments of SSP you make during PIW.

How to use this SSP record sheet

Please:

Box 1 Tick the qualifying days, and write in the date of

• read these guidance notes, and

any change.

• complete the Employee details below.

Box 2 Write in the maximum liability. Remember that

Boxes A to D – Information brought forward

you have to pay 28 weeks in a PIW. But if linked

For existing employee’s take the information you hold from

PIWs with you run longer than three years, your

the previous year’s record.

liability stops.

Employee’s details

Surname or family name

First name(s)

National Insurance number

Information brought forward

First day of PIW

Waiting

days in

Date SSP1 form

PIW

issued

with

you

Last day of PIW

Tick the qualifying days

Sun Mon Tue Wed Thu

Fri

Sat

Date

Days

Maximum

SSP

Money

liability

SSP2

Page 1

HMRC 12/12

Statutory Sick Pay Ssp Record Sheet

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