SELF-CERTIFICATE ABSENCE FORM FOR CREW OPERATING ON RYANAIR AIRCRAFT

THIS FORM MUST BE COMPLETED FOR ALL SICKNESS

If you are unable to attend work due to illness or injury (or for any other reason other than approved leave) you must notify
Crew Control by phone at least two hours prior to the start of your working day or shift. Once you have notified Crew Control
of your absence (by phone) you must complete this form and submit it (by fax or email) to Crew Control on the first day you
are absent
unless you are bed-bound, in which case it must be submitted on your first day back at work. Please make sure you complete
this form legibly, in English and in BLOCK capital letters.
Crew Control Phone No: +353 1 248 0557
Crew Control Fax No - Cabin Crew: +353 1 945 1683 Pilots: +353 1 812 1695 Email: dubcrew@ryanair.com
Statutory (Government Sickness Benefits)
UK – Crew based in the UK may be eligible for statutory sick pay (SSP) which will be processed automatically through the Payroll system
subject to your compliance with the certification procedures.
Euro Zone - Crew who are paying Irish social insurance (PRSI) must submit an “Illness Benefit Claim Form” to the Dept. of Social Welfare for
any absences lasting 6 or more consecutive days. If you are based in Ireland you can obtain this form from your GP. If you are based outside
of Ireland you should request this form from your Base Supervisor/Base Captain.
Ryanair Sickness Benefit Scheme (Ryanair employees only)
All employees who are employed by Ryanair in a full-time capacity, have successfully completed their probation period and comply with the
correct absence reporting procedures may be eligible to receive payments under the Ryanair Sickness Benefit Scheme during their absence
(see “Absence from Work Fact Sheet” in the Rough Guide to Ryanair for full details). Your absence must be medically certified by a qualified
medical practitioner and accompanied by an official English translation (if applicable). You cannot be considered for discretionary
sickness benefits if you do not comply with the absence reporting procedures. It should be clearly understood that this scheme is a
discretionary Company benefit and not a statutory right.
Personal Details
Staff No: Crew Code: Base: Contract (please circle)
FR, CWK, WFI, BRK, STM, SKY

Name: Dept: Position: Date of Entry:

Type of Absence (Tick appropriate box)

General Sickness (up to 2 calendar days)

General Sickness (3 or more calendar days) – must submit a medical certificate

Offload / Partial day

Absence Details
First day of absence (date): Last day of absence (date): Total number of days absent:

Total no. of days absent: No. of normal calendar days off or A/L included

Total days absence excluding days off & A/L

Reason for Absence: If your absence is due to sickness of any kind please give the name of your condition and a detailed description of
the symptoms. "Sick" is not an acceptable description and neither is "Flu").

PLEASE ENSURE THAT ALL SECTIONS OF THE FORM ARE COMPLETED AND SIGN THE DECLARATION BELOW:
I confirm that the above details are accurate and I understand that providing inaccurate or false information may be treated as gross
misconduct which may lead to disciplinary action up to and including dismissal.

Crew Member Signature: _________________________________ Date: ______________________________

Note to Crew Control / Manager – Once complete, this form must be submitted to the HR Department to be added to the individual’s
employee file.
Version No: DB/052019