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Form CFN552-0755 Certification of Health Care Provider for Employee's Serious Health Condition (Family and Medical Leave Act) - Iowa
What Is Form CFN552-0755?
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.
FAQ
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.
Form Details:
- Released on October 1, 2011;
- The latest edition provided by the Iowa 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 CFN552-0755 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the Iowa Department of Administrative Services.
Download Form CFN552-0755 Certification of Health Care Provider for Employee's Serious Health Condition (Family and Medical Leave Act) - Iowa
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