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Physician's Certificate BSC-B2

Physician's Certificate BSC-B2 2026

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The document is a Physician's Certificate form from the Human Resources Benefits Unit of the Office of General Services, intended for employees to complete before providing it to their physician. It outlines the process for obtaining a physician's statement regarding an employee's injury, illness, or family medical leave. The form includes sections for employee information, physician statements, and details regarding the nature of the absence and care needed for family members. It emphasizes the requirement for documentation to support sick leave requests and outlines responsibilities for both employees and physicians.

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Click ‘Get Form’ to open the Physician's Certificate BSC-B2 in the editor.
In Section 1, enter your full name, title, agency, and contact information. Specify the reason for the certificate, such as illness or family sick leave.
Once completed, provide the form to your physician for Section 2. They will need to fill in their statement regarding your condition, including any diagnoses and dates related to your injury or illness.
If applicable, complete Section 3 for family medical leave by detailing the care you will provide and the estimated time period needed.
Finally, ensure all sections are signed and dated before submitting the completed form back to the Business Services Center.

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Versions	Form popularity	Fillable & printable
2021	4.8 Satisfied (142 Votes)

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