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PGR Sick Pay Form

If you experience multiple, significant periods of shorter absences, that you feel are exceptionally impacting on your studies, you should speak to the Wellbeing Support Services for further advice.

To request paid sick leave of up to 28 calendar days please submit only the form below.

To request paid sick leave of 29 calendar days or more please submit the below form and a temporary withdrawal (health) request via Student Records Online.

When your request has been processed, your funding and registration end dates will be extneded by the period of paid sick leave. You will receive a notification email to your University of Warwick email address regarding the outcome of the sick pay request and, where it has been requested, a separate email confirming your temporary withdrawal. These emails will confirm your new expected end of registration date.

You must inform your academic supervisor and/or department/DTP/CDT of any period of absence. This is in addition to completing the Sick Pay Form. Your department may arrange a meeting when you return, to ensure that you are fit for study or to see if you require any advice from Wellbeing Support Services.

Medical evidence that covers the period of absence must be included with the request. You can self-certify for the first 7 days of an absence provided that medical evidence is submitted from day 8 onwards. If the absence specifically relates to a prevuosly disclosed disability, additional medical certification is not required to be provided.

All queries should be sent to

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Tick the box ONLY if the statement below is true for this request for paid sick leave
By ticking the box, you are confirming that you are the named person submitting the form. (required)
Please tick the box to confirm you have read the policy regarding sick pay for PGR students (required)
Please select your current source of funding (required)
Privacy notice

The data on this form will be used to verify your identity and used to process your claimed period of absence. It will be held securely for the duration of your studies. We will send you the outcome of the request to your University of Warwick email account. We will store the fact that you have requested this period of leave to ensure our records are correct. We will not use the data for any other purpose.

The University of Warwick is the Data Controller of any information you have entered on this form and is committed to protecting the rights of individuals in line with Data Protection Legislation. The University’s Data Protection webpages provide further information on your rights and how the University processes personal data. Please submit any data subject rights requests to or address any complaints or suspected breaches to the University’s Data Protection Officer at

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