FMLA Fitness-For-Duty Certification
An employee expecting to return from FMLA leave submits return-to-work certification from a health care provider.
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Completing the PDF Form
- Read through all pages of the document to find specific instructions, if any
- Enter requested information into the form
- Print the form
- Get required signatures
- Scan a copy of the signed form for your records
- Send the original, completed, signed form to:
Human Resources
120 Crofts Hall
North Campus
University at Buffalo
Buffalo, NY 14260
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Form Facts
Form Type: Downloadable, PDF Document
Requirements: PDF Reader
Updated: May 2010
Owner: Human Resources