This version of the form is not currently in use and is provided for reference only. Download this version of Form P33A for the current year.
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.
Q: What is Form P33A?
A: Form P33A is an Employee Medical Certificate in Connecticut.
Q: Who needs to fill out Form P33A?
A: Form P33A needs to be filled out by employees who require a medical certificate for a specified reason.
Q: What is the purpose of Form P33A?
A: The purpose of Form P33A is to certify an employee's medical condition and their ability to perform their job duties.
Q: When should Form P33A be filled out?
A: Form P33A should be filled out when an employee is seeking medical certification for a specified reason.
Q: Who should I submit Form P33A to?
A: Form P33A should be submitted to the employer and a copy should be kept by the employee.
Q: Is there a deadline for submitting Form P33A?
A: Yes, there is a deadline for submitting Form P33A, which is usually within 10 days of the employee's request for medical certification.
Q: What information is required on Form P33A?
A: Form P33A requires information such as the employee's personal details, the medical condition being certified, and the healthcare provider's information.
Q: Can my employer request additional documentation after receiving Form P33A?
A: Yes, your employer may request additional documentation to support the medical certification provided on Form P33A.
Q: What happens after submitting Form P33A?
A: After submitting Form P33A, your employer will review the medical certification and determine the appropriate course of action regarding your employment.
Form Details:
Download a fillable version of Form P33A by clicking the link below or browse more documents and templates provided by the Connecticut Department of Administrative Services.