Get Medical Documentation Form

Filling out the Medical Documentation Form correctly is essential for ensuring your absence is documented and your sick leave is accounted for. This guide provides a step-by-step approach to help you seamlessly complete the form online.

Follow the steps to fill out the Medical Documentation Form accurately.

1. Press the ‘Get Form’ button to access the Medical Documentation Form and open it for completion.
2. Begin by entering your full name with the last name first, followed by your first name. Ensure that this information is correct as it will be used for identification purposes.
3. Fill in your Bureau and Title in the specified fields. This information helps to accurately associate your absence with the correct department.
4. Indicate the duration of your absence by filling in the start date and time at which you were unable to work, followed by the end date and time. Organize your entries to reflect the precise periods.
5. In the section requesting the reason for your absence, clearly describe the nature of your illness or injury with sufficient details.
6. Provide the name, telephone number, and address of the treating physician or health care provider who can verify your condition.
7. Review the section that states the requirement for submitting the form within five days of your return to work to avoid potential penalties.
8. Have your treating physician or health care provider complete the certification section, which cannot be filled out by you. This includes verification of treatment dates and an assessment of your ability to work.
9. Once all required fields have been filled, check the information for accuracy before proceeding to save your changes.
10. Finally, choose the options to download, print, or share the completed Medical Documentation Form as necessary.

Complete your Medical Documentation Form online today to ensure a smooth process for your sick leave request.