Get Hartford Lc-7446 2017

Completing the Hartford LC-7446 is an important step for employees seeking leave under the Family and Medical Leave Act. This guide will walk you through the process of filling out the form accurately and efficiently to ensure your leave request is processed smoothly.

Follow the steps to fill out the Hartford LC-7446 form online.

1. Click ‘Get Form’ button to obtain the Hartford LC-7446 and open it in the online editor.
2. Begin with Section I, which is for employee completion. Enter your name, Leave ID, last four digits of your Social Security number, date of birth, employer’s name, today's date, job title, regular work schedule, and essential job functions. If applicable, check the box to indicate that a job description is attached.
3. Once you have filled out your information, print the form and provide it to your health care provider to complete Section II.
4. Instruct your health care provider to provide detailed responses in Section II, which includes medical facts and the amount of leave needed. Ensure they answer all questions thoroughly to avoid delays.
5. After your health care provider completes the form, they should return it to you. Make sure to review the form for accuracy.
6. Return the completed form to The Hartford either by mailing it to the address provided or by faxing it to the designated number. Ensure that this is done within the 15-day time frame from when you requested your leave.
7. You can choose to save changes, download a copy, or print the form for your records before submitting it.

Complete your Hartford LC-7446 form online today to ensure your leave request is processed quickly and efficiently.