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How to use or fill out hr.cornell.edubenefits-payleaves-disabilityLeaves & Disability - Cornell University Division of Human Resources with Our Platform
- Click ‘Get Form’ to open it in the editor.
- In Part I, enter your Employee Name, EMPLID, Title, Department, and both Work and Home Telephone numbers. Ensure all fields are accurately filled out.
- Sign and date Part I to confirm you understand the Medical Leaves for Staff policy.
- Forward Part II to your Health Care Provider for completion. They will need to provide medical facts about your condition, including treatment dates and whether hospitalization was required.
- Once completed by the Health Care Provider, ensure that both parts of the form are returned within 15 days of receiving your eligibility letter.
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