Form P33A Employee Medical Certificate - Connecticut

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Form P33A Employee Medical Certificate - Connecticut

What Is Form P33A?

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 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.

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Form Details:

  • Released on February 1, 2011;
  • 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 P33A by clicking the link below or browse more documents and templates provided by the Connecticut Department of Administrative Services.

Download Form P33A Employee Medical Certificate - Connecticut

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