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Human Resources, Benefits Unit 1220 Washington Ave., Building 5, Floor 4 Albany, NY 122261900 Email: BSCBenefitsAdmin ogs.ny.gov Phone: 5184574272 Fax: 5184571879 Ave., Building 5, Floor 4Physicians.

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How to fill out the NY BSC-B2 online

Filling out the NY BSC-B2 form is essential for employees seeking Family Medical Leave or those requiring physician certification for illness or injury. This guide provides a step-by-step approach to ensure that users can complete the form accurately and efficiently.

Follow the steps to complete the NY BSC-B2 form online.

  1. Click ‘Get Form’ button to access the NY BSC-B2 online and open it for editing.
  2. Begin with Section 1, where you need to provide your full name, including your first, middle, last, and suffix. Indicate your reasons for obtaining the certificate by selecting appropriate options such as absence due to illness or family sick leave.
  3. Continue filling out your work and home contact details, including work telephone number, home telephone number, and mobile telephone number for communication purposes.
  4. Next, navigate to Section 2, the Physician's Statement. If applicable, the physician should enter a diagnosis and any remarks regarding your condition. Ensure they indicate whether the injury or illness is work-related and if hospitalization was required.
  5. Document the dates related to your injury or illness, including the day you became unable to work and your expected or actual return to work date.
  6. For those needing family sick leave, proceed to Section 3 where you will describe the type of care you will provide for your family member and estimate the time frame for which you will need leave.
  7. Complete Section 4 if applicable, providing the physician's statement regarding the family member's needs, confirming if their assistance is necessary and estimating the duration of care required.
  8. Once everything has been filled out accurately, save your changes. You can then download, print, or share the completed form as needed.

Complete your NY BSC-B2 form online to ensure your leave or medical documentation is processed smoothly.

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