
Human Resources, Benefits Unit 1220 Washington Ave. Building 5, Floor 6 Albany, NY 122261900 Email: BSCBenefitsAdmin ogs.ny.gov Phone: 5184574272 Fax: 5184571879Office of General ServicesBusiness.
Open form follow the instructions
Easily sign the form with your finger
Send filled & signed form or save
How to fill out the NY BSC-B2 online
The NY BSC-B2 form is essential for employees seeking to document medical conditions affecting their ability to work. This guide walks you through the steps necessary to complete the form effectively and ensure all required information is provided clearly and accurately.
Follow the steps to complete the NY BSC-B2 form online.
- Click ‘Get Form’ button to obtain the form and open it in your preferred editor.
- Begin with Section 1, where you, as the employee, fill in your personal information. This includes your full name, job title, agency, contact email address, and phone numbers.
- Indicate the reason for the certificate by selecting from the provided options, such as illness, workers' compensation, or family sick leave. If applicable, provide the patient's name.
- Move to Section 2, which requires your physician to provide their statement. They should document the diagnosis, any remarks regarding your condition, and whether the injury or illness is work-related.
- Your physician must also fill in relevant dates, including the date of injury or illness onset, dates of hospitalization if applicable, and expected return to work date.
- If you are applying for family sick leave, proceed to Section 3 where you detail the care you will provide to your family member and the estimated time period for this care.
- Complete Section 4 with your physician’s statement regarding your family member's need for assistance and their confirmation of your presence being necessary.
- Before submitting, review all sections for accuracy and ensure that all required signatures are in place.
- Once completed, you may save the form, download it, print, or share it as necessary.
Complete the NY BSC-B2 form online today to facilitate your documentation process.
Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Related content
For Family Medical Leave – Complete Section 3 on page two of this form. Notice to...
Feb 24, 2017 — Biosafety Cabinet (BSC): A device enclosed (except for necessary exhaust...
Diborane(6), generally known as diborane, is the chemical compound with the formula B2H6...
Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
If you believe that this page should be taken down, please follow our DMCA take down process here.