Use this template to track SSP eligibility and payments.
Statutory Sick Pay Record
Employee Details
| Field | Information |
|---|
| Employee Name | |
| Employee Number | |
| NI Number | |
| Department | |
| Start Date | |
| Qualifying Days | [e.g., Monday-Friday] |
| Weekly Earnings | £ |
Current SSP Rate
| Tax Year | Weekly Rate (ceiling) | Daily Rate (5-day week) |
|---|
| 2026-27 | £123.25 | £24.65 |
Since 6 April 2026 SSP is the lower of £123.25 a week or 80% of average weekly earnings, so the figures above are the maximum. Below £154.06 a week, use the 80% figure instead.
Check GOV.UK for current rates
SSP Eligibility Check
Initial Eligibility
| Criterion | Met? | Notes |
|---|
| Employee (not contractor/agency) | [ ] | |
| Off sick for 4+ consecutive days | [ ] | |
| Provided evidence (self-cert/fit note) | [ ] | |
There is no earnings criterion. The Lower Earnings Limit was removed as a condition of SSP on 6 April 2026 — do not screen anyone out on pay.
| Not excluded (see below) | [ ] | |
Exclusions (SSP NOT Payable If)
| Exclusion | Applies? |
|---|
| Already received 28 weeks SSP in this PIW | [ ] |
| Within 8 weeks of receiving certain benefits | [ ] |
| In legal custody | [ ] |
| Pregnancy-related exclusion period | [ ] |
| Industrial dispute at workplace | [ ] |
| Worked on a qualifying day during the PIW | [ ] |
Absence Record
Period of Incapacity for Work (PIW)
| PIW Number | Start Date | End Date | Total Calendar Days | Linked? |
|---|
| | | | |
| | | | |
| | | | |
PIWs separated by 8 weeks or less are linked
SSP Days
This Absence Period
| Day | Date | Qualifying Day? | SSP Payable? | SSP Amount |
|---|
| 1 | | [ ] | [ ] | £ |
| 2 | | [ ] | [ ] | £ |
| 3 | | [ ] | [ ] | £ |
| 4 | | [ ] | [ ] | £ |
| 5 | | [ ] | [ ] | £ |
| 6 | | [ ] | [ ] | £ |
| 7 | | [ ] | [ ] | £ |
| [Continue as needed] | | | | |
Total SSP for this period: £_________
Notes
- There are no waiting days. They were abolished on 6 April 2026 — SSP is payable from the first qualifying day of the absence.
- The absence must still reach 4+ consecutive days of incapacity (non-working days included) to form a PIW at all.
- Once the PIW is formed, every qualifying day in it is payable, including the first three.
Evidence Received
| Period | Type | Covering Dates | Date Received | Notes |
|---|
| Days 1-7 | Self-certification | | | |
| Day 8+ | Fit note | | | |
| Fit note | | | |
| Fit note | | | |
Self-certification acceptable for first 7 calendar days
Fit note required from day 8 onwards
SSP Calculation
Weekly SSP Rate
| Element | Amount |
|---|
| Average weekly earnings | £ |
| 80% of average weekly earnings | £ |
| SSP flat rate (ceiling) | £123.25 |
| Weekly SSP — the lower of the two above | £ |
| Employee's qualifying days per week | |
| SSP per qualifying day | £ |
Total SSP Paid This PIW
| Week Ending | Qualifying Days Paid | Amount |
|---|
| | £ |
| | £ |
| | £ |
| | £ |
| Total | | £ |
28-Week Maximum Tracker
| PIW | Start Date | Weeks of SSP | Running Total |
|---|
| 1 | | | |
| 2 | | | |
| 3 | | | |
| Total weeks used | | | |
SSP payable for maximum 28 weeks in a PIW
If 28 weeks exhausted, issue SSP1 form
SSP1 Form
Issue SSP1 if SSP not payable or about to end
| Issued? | Date | Reason |
|---|
| [ ] | | Not enough earnings |
| [ ] | | 28 weeks exhausted |
| [ ] | | Other exclusion: _________ |
Return to Work
| Detail | Date/Information |
|---|
| Return to work date | |
| Fit note said "may be fit" | [ ] Yes [ ] No |
| Adjustments made? | |
| Return to work meeting held | |
| Phased return? | |
Payroll Processing
| Pay Period | SSP Included | Processed By | Date |
|---|
| £ | | |
| £ | | |
| £ | | |
Notes
[Space for additional notes]
SSP Quick Reference
Who Qualifies
- All employees — no minimum earnings requirement since 6 April 2026
- Sick for 4+ consecutive days (including non-working days)
- Has notified employer of sickness
How Much
- The lower of £123.25/week or 80% of average weekly earnings (2026-27)
- Divide by qualifying days for daily rate
- Paid for qualifying days only (not all calendar days)
How Long
- Up to 28 weeks in a PIW
- No waiting days — payable from the first qualifying day
- PIWs separated by 8 weeks or less are still linked, which matters for the 28-week total
Key Forms
- Self-certification: Days 1-7
- Fit note: From day 8
- SSP1: When SSP ends or isn't payable
Record Completed By
| Field | Information |
|---|
| Name | |
| Position | |
| Date | |
| Signature | |