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...Self certification form you should complete this following a period of absence from work may certify your for the first seven days if lasted longer than consecutive then must provide fit note once have completed it give to manager employee details name number business function job title please tick box which best describes illness reason accident occurred whilst working co operative group during other employment outside full about did consult doctor or medical yes no practitioner what was advice given are return normal duties pregnancy related pregnant employees only dates start time sent home day not same absent notification notify on explain why and date notified exceeded provided authorisation knowledge above true accurate statement i accept that deliberate provision false information lead disciplinary action up including summary dismissal possibly prosecution by dwp signature review use inform discussion with store locally within secure location do place send copy hr services email...