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Get Return To Agency Name University Of Connecticut Attn Vicki Fry, Human Resources Address 9 Walters
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How to fill out the Return To Agency Name University Of Connecticut Attn Vicki Fry, Human Resources Address 9 Walters online
This guide provides a comprehensive overview of how to fill out the Return to Agency Name form for the University of Connecticut. Designed for users with varying levels of experience, this guide will walk you through each section of the form with clear and supportive instructions.
Follow the steps to complete the form online.
- Click the ‘Get Form’ button to access the form and open it in your document editor.
- Fill in the employee's name, position, and address in the spaces provided at the top of the form. Ensure that all details are accurate.
- In the medical condition section, the physician or practitioner must describe the nature of the incapacity, ensuring it aligns with the conditions outlined in the form.
- Complete questions regarding the onset and duration of the condition, including providing the date of the most recent examination. Include any necessary specifics if intermittent work or a reduced schedule is required.
- Ensure that the physician or practitioner verifies whether the employee can perform any work during the incapacity period by answering relevant yes/no questions in the specific sections.
- In the additional remarks section, the physician or practitioner should provide any extra context or details that may support the medical certification.
- Once all sections are completed, review the form for accuracy, save your changes, and choose to download, print, or share the form as necessary.
Ensure timely submission of your documentation by filling out the form online today!
Benefits. The Benefits Team provides services to employee in the areas of Benefits Enrollment, Retirement, Tuition Reimbursements and Waivers, and other benefits available to University employees. Please contact the Employee Resource Center at 860-486-3034 or hr@uconn.edu for assistance.
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