Get Ccsu Form P33b – Caregiver 2011-2025

The CCSU Form P33B is essential for employees seeking family leave to care for a spouse, child, or parent with a serious health condition. This guide provides a clear, step-by-step approach to completing the form online effectively.

Follow the steps to complete the CCSU Form P33B – Caregiver online effortlessly.

1. Press the ‘Get Form’ button to acquire the CCSU Form P33B and open it in your preferred online document editor. This will allow you to input your information directly into the form.
2. Begin by filling in the agency name, which is Central Connecticut State University, followed by the agency address: 1615 Stanley Street, New Britain, CT 06050-4010.
3. In the designated fields, include your name as the employee, your employee number, and your position within the agency.
4. Next, provide the patient's name and indicate their relationship to you (the employee), such as spouse, child, or parent.
5. Proceed to section (1) where the physician or practitioner will determine if the patient's condition qualifies under federal FMLA. Select 'yes' or 'no' based on their assessment.
6. For section (3), the physician will need to answer questions about the date the condition commenced, its probable duration, and any episodes of incapacity.
7. In section (4), additional treatments required for the condition should be outlined, including the number and frequency of treatments.
8. In section (5), the physician or practitioner must indicate whether the patient needs assistance for basic medical needs and if your presence would provide psychological comfort.
9. Finally, the physician or practitioner will complete sections (6) and (7), signing the form and providing their contact details.
10. Once all required fields are accurately filled, you can save your changes, download the completed form, print it, or share it as necessary.

Complete your CCSU Form P33B online today to ensure a smooth leave process.