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This form is used to open a sickness absence and is to be completed by the manager/supervisor on the first day of absence.

On completion of the form it will be submitted to the Absence Admin Team who will open the absence. The information on this form will be used to update HR, Payroll and Pension records.

The manager/supervisor should maintain regular contact with the member of staff during their sickness absence.


Doing more to protect personal data: Please note that to open this absence you will need to provide us with the employee’s Personal Reference Number. This additional information is required to enhance our data security processes and the accuracy of the data we process.

You can find this employee’s Personal Reference Number by logging in to PiP For My Team, clicking on My Staff and hovering your mouse/clicking on the employee’s name. 

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