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Send this as soon as your illness starts. This form tells Dolphin management that you are sick during an ongoing posting. From your second sick day a medical certificate is required — add it below, or send it to us later.
1
Your name *
Date of birth *
Your email *
Your phone *
2
Client and place of work *
Assignment starts *As stated in your contract
Assignment ends *
3
First day you are away *
Expected day backLeave empty if you do not know yet
Reason *A sentence is enough. You do not need to give a diagnosis.
4
Required from your second sick day. If you are reporting the first day and do not have a certificate yet, leave this empty and send it to us later. A photo of the note is fine. Up to 5 files, 5 MB each.
To handle your notification we need your permission to store and process the information you send us. Your data is only handled by Dolphin Group staff.
Yes, I approve
🔒 Sent securely to Dolphin management
Please leave this field empty.
