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Abstract Book - ID:5cfebe34281fe - BAIXARDOC

Abstract Book - ID:5cfebe34281fe - BAIXARDOC 2025

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The document outlines the process for employees at Cornell University to apply for Personal Medical Leave due to serious health conditions. It includes a certification form that must be completed by both the employee and their healthcare provider, detailing medical facts, treatment needs, and the expected duration of leave. The document also defines what constitutes a 'serious health condition' under FMLA guidelines and emphasizes compliance with the Genetic Information Nondiscrimination Act (GINA).

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Click ‘Get Form’ to open the Abstract Book in the editor.
Begin by filling out Part I, which requires your personal information such as Employee Name, EMPLID, Title, and Department. Ensure all fields are completed accurately.
Sign and date Part I to confirm your understanding of the Medical Leaves for Staff policy.
Next, provide the form to your Health Care Provider for completion of Part II. This section includes medical facts about your condition and must be signed by the provider.
Return the completed form (both Parts I and II) within 15 days of receiving your eligibility letter to ensure compliance with submission timelines.

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2021	4.8 Satisfied (96 Votes)
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