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...Royal united hospital bath nhs trust in strictest confidence sickness absence self certification form part please complete this for all includes days if your th continues beyond calendar you must submit a medical certificate from gp the day of onward addition to failure will result considered be unauthorised and not paid note managers forward payroll on receipt ensure payment sick pay surname forename title department directorate date commenced last worked indicate first was whole or when were unfit work return interview done with name reason tick appropriate box blood disorder cancer cardiac cold influenza coronary dental pain dermatological diarrhoea vomiting ear nose throat eyes gastro genito urinary gynaecological intestinal headache migraine hypertension infections musculo skeletal back neurological other neck specify joint lower limb mental pregnancy psychological respiratory disorders related stress anxiety substance alcohol surgery non misuse is an industrial injury are pursuin...