Get Sandia Sf 4560-g 2013

Filling out the Sandia SF 4560-G, also known as the Physician’s Certificate of Illness/Injury, is an essential process for employees needing to apply for sickness absence benefits. This guide provides clear, step-by-step instructions for completing the form online.

Follow the steps to successfully complete and submit the form.

1. Click ‘Get Form’ button to obtain the form and open it in your browser tool.
2. Begin filling out the employee portion at the top of the form. Enter your name, SNL ID number, address, organization/building number, mail stop, first day of absence, home and work phone numbers, manager's name, and phone number.
3. Indicate whether you were absent due to an accident by answering 'yes' or 'no'. If yes, briefly describe the cause of the accident.
4. Once the employee section is completed, deliver the form to your physician for them to complete the treatment and diagnosis sections.
5. Direct your physician to include the dates of treatment, the diagnosis, any performed surgeries, and the hospitalization details in the appropriate fields.
6. Instruct the physician to indicate any work limitations or recommendations that may assist with your rehabilitation.
7. After your physician completes their part, ensure they sign and date the form, certifying that you were unable to work due to your illness or injury.
8. Review all the provided information for accuracy, ensuring that all necessary fields are filled correctly.
9. Submit your completed form to the Health Benefits and Employee Services within 15 calendar days of your first absence date. You can save it, download, or share the form if needed.

Complete your Sandia SF 4560-G form online today to ensure timely processing of your sickness absence benefits.