*This request form is for repeat certs as authorised by your GP, please allow 2 working days for processing. New certs need a consultation with your GP.

PLEASE NOTE This form is only applicable if you need to extend an illness benefit/medical certificate. You must see a GP to receive an initial illness benefit certificate.

If you need to extend your cert, you can submit this form and we will contact you if you need to be reviewed by a GP or we require further information.