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How to use or fill out SNL Physician's Certificate of Disability; SF 4560-G - sandia with DocHub
- Click ‘Get Form’ to open the SNL Physician's Certificate of Disability; SF 4560-G in our editor.
- Begin by filling out the top portion of the form, including your name, SNL ID number, and contact information. Ensure that you provide accurate details as this section is crucial for identification.
- Indicate the first day of absence and whether the illness/injury was due to an accident. This information helps establish the context for your leave.
- Next, have your physician complete their section, detailing treatment dates, diagnosis, and any necessary surgery or hospitalization. This certification is essential for validating your absence.
- Sign the authorization for release of medical information at the end of the form. This grants permission for your healthcare provider to share relevant medical details with Sandia.
- Once completed, submit the form via fax or mail to ensure it reaches Health Benefits and Employee Services within the required timeframe.
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