| TitleStatutory Sick Pay Form SSP 1
 PurposeAs an employer, you should check that an employee at the start of everyperiod of sickness remains eligible for SSP. An employee who isexcluded from receiving SSP or who has received the maximum entitlementto SSP may be able to claim a state benefit. Where an exclusionapplies, you should provide the employee with an SSP 1 Changeover Formindicating the reason why SSP is not payable.
 IntegrationTo identify which employees have been excluded from SSP, you areadvised to run the SSP/SMP exclusions report. It will provide you witha list of individuals for whom you should run the SSP 1 report.
 When SSP 1 forms are submitted to the DSS, the payroll office normallyreceives further enquiries from them, generally concerning anemployee's entire sickness history. To provide the DSS with theinformation it requires, the Sickness history SSP 1 report should berun in conjunction with the SSP 1 report for a particular individual,thus identifying the sickness history that caused the SSP 1 to beissued.
 FeaturesThe computerized version of Form SSP 1 contains the following statutoryinformation:
 
 Employee's name
 Employee's National Insurance number
 Employee's payroll number
 Employer's tax reference number
 First day of sickness
 Total number of weeks paid
 Qualifying days in last week of SSP
 Date of sickness after which SSP cannot be paid
 Exclusion reason
 Employer's name and addressActivitiesYou will normally be running the SSP 1 report for employees you knowhave been excluded from SSP. On the selection screen, enter theemployee's personnel number and other data, as appropriate. When youhave run the report and printed the form, you must complete thefollowing fields manually:
 
 First day of sickness
 Total number of weeks paid
 Qualifying days in last week of SSP
 Date of sickness after which SSP cannot be paid
 Exclusion reason
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