Annex B � Fit note: Explaining the form for employers and line managers
Updated 6 October 2023
When you receive a fit note from your employee, we recommend you to read the guidance for employers and line managers, or type in www.gov.uk/fit-note. To ensure you follow the right steps each time, you can view, download or print out the Fit Note: Checklist for Employers.

1. »Ê¹ÚÌåÓýapp date your employee was assessed by their healthcare professional.
2. »Ê¹ÚÌåÓýapp health condition(s) affecting your employee’s fitness for work.
3. »Ê¹ÚÌåÓýapp healthcare professional’s assessment as to whether your employee is either:
- maybe fit for work � this would help facilitate health and work discussions on changes to support their stay in work and return to work; or
- not fit for work � this means your employee is not fit for work of any kind.
4. »Ê¹ÚÌåÓýapp healthcare professional’s advice about how you can support your employee to return to work, this should include any recommendations i.e., workplace modifications or reasonable adjustments.
5. »Ê¹ÚÌåÓýapp period that the fit note covers. »Ê¹ÚÌåÓýapp dates in this section (including any which cover an early period) can be for any period that your employee’s healthcare professional considers appropriate.
6. This box tells you whether your employee’s health condition is expected to affect them after their current fit note expires:
- I will not need to assess your fitness for work again at the end of this period � your employee’s health condition is not expected to affect their fitness for work once the fit note has expired
- I will need to assess your fitness for work again at the end of this period � means your employee’s health condition may still affect their fitness for work beyond the end of the fit note (so they may need a new fit note at that point)
7 and 8. »Ê¹ÚÌåÓýapp name of the issuer and the profession of the issuer. Occasionally you may also be presented with an older version of the fit note form which will be signed in ink.
9. »Ê¹ÚÌåÓýapp date the fit note was issued â€� this may not always be the same as the date of the assessment and issuers address of your practice should be completed.