ACCOUNT_FIRST_NAMEACCOUNT_LAST_NAME

ACCOUNT_JOB_ADDRESS_SINGLE_LINE

Address

Current Date: 24 November 2024

Dear Sir/Madam,

To administer Statutory Sick Pay, and the Company’s sick pay scheme, and to plan the work in the department, it would be helpful to have a report on your patient, who works for our organisation.

His/her work as a TITLE has the following major features:

Management responsibility 

Seated/standing/mobile

Light/medium/heavy effort required *

Day/shift/night work *

Clerical/secretarial duties *

Group I (private)/Group II (professional) driver *

Other

The absence record for the past year is summarised as:

Total days lost LOST_DAYS

........................................