Work Illness Certs | Whiterock FP

Work Illness Cert

Your employer may require you to provide a separate medical certificate ('sick note/work cert' from your GP) when you are on sick leave. For example, you may have to provide a medical certificate if you are out sick for more than 2 or 3 consecutive days.

First Name

Last Name

Date of Birth (dd/mm/yyyy)

Phone

Full Address

Certificate Start Date required

Certificate End Date required

Reason for cert (not required)

I consent to this message being sent electronically to the practice. I have checked that the email address and phone number supplied are correct and consent to receiving medical information via email or text.

By submitting this form you will be sending personal/sensitive information about yourself across the Internet. Please read our privacy statement to discover how we protect and manage your submitted data. Whilst every effort is made to keep this information secure, you should be aware that we cannot offer any guarantees of absolute privacy. If this matter concerns you then you should use another method of contacting the practice.

Social Welfare Illness Benefit – Important Information

If you are unable to work due to illness, you may be entitled to Illness Benefit from the Department of Social Protection (DSP).

To begin your claim, you must attend an in-person consultation with your GP, who will complete a ‘Certificate of Incapacity for Work’. This certificate cannot be issued without a face-to-face appointment, as per DSP guidelines.

Please note: The only exception to this requirement is if you are currently an inpatient in hospital. In that case, we will require a letter from your hospital consultant confirming your admission status.

Your GP will submit the certificate electronically to the Department via a secure online system. In some cases, a single certificate may cover the entire duration of your illness. If not, you may need to return for follow-up assessments and further certification.

Once your certificate has been issued, you must open your Illness Benefit claim online with the Department of Social Protection. You can do so here.

Apply for Illness Benefit