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Get the free Medical Certification Form(HR Use Only)

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City of Allentown Human Resources Room 233 435 Hamilton Street Allentown, PA 18101 Phone: (610) 4377523 Fax: (610) 4377675 CITY MEDICAL CERTIFICATION FORM To The Examining Physician: The City grants
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How to fill out medical certification formhr use

01
To fill out a medical certification form for HR use, follow these steps:
02
Obtain a copy of the medical certification form from your HR department.
03
Read the instructions provided on the form carefully to understand the requirements.
04
Fill in your personal information accurately, including your name, employee ID, and contact details.
05
Provide details about the medical condition or reason for the certification.
06
Include the date of onset of the condition or the duration for which certification is required.
07
If necessary, attach any supporting medical documents or reports along with the form.
08
Review the completed form for accuracy and completeness.
09
Sign and date the form as per the instructions provided.
10
Submit the filled-out form to your HR department within the specified timeframe.
11
Keep a copy of the form for your records.

Who needs medical certification formhr use?

01
Employees who require medical certification for HR use may include:
02
- Employees requesting sick leave or medical leave
03
- Employees seeking accommodation for a disability
04
- Employees participating in wellness programs or fitness initiatives
05
- Employees involved in workplace injury or accident cases
06
- Employees in need of proof of medical condition for insurance purposes
07
It is advisable to consult your HR department or employee handbook for specific guidelines on who needs to fill out a medical certification form.
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The medical certification form is a document used by HR departments to verify an employee's medical condition and the need for time off work.
Employees who need time off work for medical reasons are required to file the medical certification form.
The form should be filled out by the employee's medical provider and submitted to the HR department.
The purpose of the form is to ensure that employees are provided with the appropriate accommodations and time off work for medical reasons.
The form should include the employee's medical condition, expected duration of time off work, and any additional accommodations needed.
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