Form P33B Caregiver Medical Certificate - Connecticut

Form P33B Caregiver Medical Certificate - Connecticut

What Is Form P33B?

This is a legal form that was released by the Connecticut Department of Administrative Services - a government authority operating within Connecticut. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form P33B?
A: Form P33B is a Caregiver Medical Certificate used in Connecticut.

Q: Who needs to use Form P33B?
A: Caregivers in Connecticut who need to provide proof of their medical condition may need to use Form P33B.

Q: What is the purpose of Form P33B?
A: The purpose of Form P33B is to provide evidence of a caregiver's medical condition to the Connecticut Department of Labor.

Q: What information is required on Form P33B?
A: Form P33B requires information such as the caregiver's name, address, medical condition, and the name of the person for whom they provide care.

Q: How should I submit Form P33B?
A: Form P33B can be submitted to the Connecticut Department of Labor by mail or in person.

Q: Are there any fees associated with Form P33B?
A: There are no fees associated with submitting Form P33B.

Q: How long is Form P33B valid for?
A: Form P33B is valid for one year from the date of issuance.

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Form Details:

  • Released on January 1, 2022;
  • The latest edition provided by the Connecticut Department of Administrative Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form P33B by clicking the link below or browse more documents and templates provided by the Connecticut Department of Administrative Services.

Download Form P33B Caregiver Medical Certificate - Connecticut

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