Get Arizona State University Fmla Certification Of Health Care Provider For Family Member's Serious 2010-2025

Filling out the Arizona State University FMLA Certification Of Health Care Provider For Family Member's Serious is an important process for those seeking leave to care for a family member with a serious health condition. This guide provides step-by-step instructions to help you complete the online form accurately and efficiently.

Follow the steps to complete the certification form online.

1. Click ‘Get Form’ button to obtain the form and open it in the document editor.
2. Complete Section I with details about the department. Ensure to include your contact information and the return address. This section needs to be filled out before giving the form to the employee.
3. In Section II, the employee should enter their personal information, including their name and the family member's name for whom they will provide care. The employee must describe the nature of care and the estimated leave needed.
4. The employee should sign and date the form after completing Section II.
5. Provide the completed form to the health care provider who will fill out Section III, including medical details and care needs. The health care provider must be thorough and provide accurate estimates based on their medical expertise.
6. After the health care provider completes Section III, ensure they sign and date the form before returning it.
7. Submit the completed certification to the designated department at Arizona State University, along with any other required documentation. Make sure to keep a copy for your records.
8. Finally, if needed, action can be taken to save changes, download, print, or share the form as necessary.

Begin filling out your documents online today to ensure timely submission.