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State of Connecticut Human Resources Medical …

    https://portal.ct.gov/-/media/MIL/Forms/P33B.pdf
    This medical certificate is to be used by employees seeking family leave to care for a spouse, child (under age 18 or 18 or older and incapable of self-care because of mental …

    https://portal.ct.gov/-/media/DAS/Statewide-HR/A---Z-Listing-Task-PDFs/FMLA-Caregiver-Medical-Certificate.pdf
    and duration of a condition, treatment, etc. Your answer should be your best estimate based upon your medical knowledge, experience, and examination of the patient. Be as …

Medical Certificate Return to Human Resources at: …

    https://portal.ct.gov/-/media/DAS/Statewide-HR/A---Z-Listing-Task-PDFs/FMLA-Employee-Medical-Certificate.pdf
    your medical knowledge, experience, and examination of the patient. Be as specific as you can; terms such as “lifetime,” “unknown,” or “indeterminate” may not be sufficient to …

FMLA Forms - ct

    https://portal.ct.gov/DAS/Lists/Human-Resources-Business-Rules-and-Regulations/Benefits/Medical-Leave-FMLA/FMLA-Forms
    FMLA - Core-CT Coding Form - FMLA-HR2c. Form to be completed by agency human …



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