Nys ehs 2026

1. Click ‘Get Form’ to open the Agency Request for Medical Examination (EHS-707) in the editor.
2. Begin by filling in the 'PERSON REQUESTING EXAMINATION' section. Enter your printed name, signature, title, date of request, phone number, fax number, agency name and address, agency code, division, and preferred service location.
3. Next, provide details about the employee concerning whom the examination is requested. Fill in their name, Social Security number, date of birth, street address, city, state, zip code, and title.
4. Indicate the legal authority for the request by selecting from options such as Involuntary Leave or Workers’ Compensation. Ensure to attach any necessary explanations as required by Section 2620 of the State Personnel Management Manual.
5. Finally, review all entered information for accuracy before submitting. Use our platform’s features to save or share your completed form easily.

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