This is a legal form that was released by the Iowa Department of Administrative Services - a government authority operating within Iowa. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form CFN552-0755?
A: Form CFN552-0755 is the Certification of Health Care Provider for Employee's Serious Health Condition (Family and Medical Leave Act) specific to Iowa.
Q: What is the purpose of Form CFN552-0755?
A: The purpose of Form CFN552-0755 is to certify the serious health condition of an employee for the Family and Medical Leave Act in Iowa.
Q: When is Form CFN552-0755 used?
A: Form CFN552-0755 is used when an employee requires medical leave due to a serious health condition in Iowa.
Q: Who completes Form CFN552-0755?
A: The employee's health care provider completes Form CFN552-0755.
Q: What information is required on Form CFN552-0755?
A: Form CFN552-0755 requires information about the employee's medical condition, treatment, and the expected duration of the leave.
Download a fillable version of Form CFN552-0755 by clicking the link below or browse more documents and templates provided by the Iowa Department of Administrative Services.