Get Cl 11253 Sc Form

Filling out the Cl 11253 Sc Form online can be a straightforward process when you know the steps. This guide will provide you with clear instructions to ensure you can complete the form accurately and efficiently.

Follow the steps to successfully fill out the Cl 11253 Sc Form online.

1. Click the ‘Get Form’ button to access the Cl 11253 Sc Form and open it in your online editor.
2. Read the introductory section carefully. This part gives context about the purpose of the medical inquiry and how your responses will be used.
3. In the section that lists health conditions, identify if you have any of the conditions outlined. You can respond 'Yes' or 'No' for each condition listed. Make sure to only select 'Yes' for conditions that apply to you.
4. If you answered 'Yes' to any of the conditions, provide further details in the designated area. Indicate the nature of the injury or illness, the body part affected, any restrictions, and the name of your treating physician.
5. Review the Acknowledgment and Records Release section. This confirms your understanding of the medical inquiry's purpose and your consent to share your medical records if necessary.
6. Complete the signature area by signing and dating the form as the employee. A witness signature is also required, so ensure that you have a witness available to sign the form.
7. Once all sections are filled out and reviewed, you can save your changes, download the completed form, print it, or share it as needed.

Complete your Cl 11253 Sc Form online today for a smooth process!