Get 3cac7e6a-3a84-3848.doc

This guide provides clear instructions for completing the 3CAC7E6A-3A84-3848.doc, which is essential for certification of fitness to return to work after an extended illness or leave. Follow the steps outlined to ensure all necessary information is accurately submitted.

Follow the steps to complete the form accurately and efficiently.

1. Press the 'Get Form' button to obtain the document and open it in your online editor.
2. Begin with the section for the personal physician's certificate. Enter the full name of the physician who has examined the individual returning to work. Ensure that this information is accurate and up to date.
3. Fill in the name of the person who has been on leave, as well as the specific illness that prompted their absence. Be clear and specific to avoid any confusion.
4. In the next field, the physician must indicate their assessment of the individual’s physical and mental health. They should select either 'physically and mentally in good health and able to return' or provide an alternative assessment as needed.
5. Specify the date of examination conducted by the physician. This ensures that the certificate reflects the most current evaluation.
6. For administrative staff, locate the college physician's section. Repeat similar steps by providing the college physician’s name, followed by their examination findings regarding the individual's fitness to return.
7. If there is any disagreement between the personal physician and college physician, a third physician must be consulted. Fill out the relevant fields for the third physician’s certificate, following the same structure as previous steps.
8. Once all sections are completed, review the entire document for accuracy and completeness. Ensure all required signatures are present from the respective physicians.
9. Finally, save your changes, and choose to either download, print, or share the completed form as necessary to submit to the Personnel Services office.

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