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Get Formulario De Registro Licencia Pre Y Post Natal
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How to fill out the Formulario De Registro Licencia Pre Y Post Natal online
This guide provides a comprehensive overview of how to correctly fill out the Formulario De Registro Licencia Pre Y Post Natal online. By following the described steps, users can ensure accurate completion of the required information for maternity leave.
Follow the steps to successfully fill out the form.
- Press the ‘Get Form’ button to access the form and open it for online completion.
- Identify the type of leave by marking either 'Licencia Pre Natal' if the maternity leave starts before the delivery, or 'Licencia Post Natal' if it begins at the time of delivery.
- Enter the general identification information of the employee requesting the subsidy under the section labeled 'Identificación de la Trabajadora Afiliada'. This information will be printed on the form.
- Complete the section for the medical professional's details, which includes: the identification number, the legal exequatur number, the full name, the address of the practice, the phone number, the mobile number, and the email address of the treating physician.
- Provide details for the Health Service Provider (PSS) by entering the name, address, phone number, fax number, and email of the facility where the user received care.
- If marking 'Licencia Pre Natal', fill in the details of the leave, including the main diagnosis (number of weeks of pregnancy at the start of maternity leave), the date the leave started, the diagnosis date, and the duration of leave as per labor law.
- If marking 'Licencia Post Natal', complete the specific fields for birth details, which include the start date of maternity leave (should be the same or later than the prenatal leave date) and the date of birth of the infant(s).
- Fill in the section for each infant, entering the gender (using 'F' for female and 'M' for male), the Unique Identification Number from the birth certificate, the Social Security Number assigned, the full name, and last names of the infant.
- If there are multiple births, ensure to complete the information for each infant in the designated sections.
- Ensure the treating physician's signature and seal are affixed to the form as required.
- Once all sections are completed, review the form for accuracy, save changes, and download or print the completed document for submission.
Complete your Formulario De Registro Licencia Pre Y Post Natal online to ensure a smooth application process.
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