IT IS ESSENTIAL THAT YOU COMPLETE
THE BELOW FORM TO COMPLETE YOUR ORDER

Thank You For Ordering A Fit / Sick Note

DO NOT FILL OUT THIS FORM UNLESS YOU HAVE ALREADY PAID!

Please Read Carefully and follow instructions to ensure you receive your correct sick note.

PLEASE TAKE CARE WHEN FILLING IN THE FORM
REMEMBER TO USE CAPITAL LETTERS ONLY WHERE NECESSARY

You have options on the way your sick note is delivered to you.

It should be noted that you will only receive ONE sick note when you opt for a filled in sick note (recommended).
If you opt for the stamped only option - you will receive 2 note, but remember you have to fill them in yourself in handwriting, and it's hard to fake handwriting.