- Employment Application for a Health Care Organization US-01298BG
- Checklist - Health and Disability Insurance US-03097BG
- Health Record Amendment Denial Letter US-177EM
- Certification of Health Care Provider under the FMLA of 1993 US-289EM
- Affidavit of No Coverage by Another Group Health Plan US-321EM
- Certificate of Group Health Plan Coverage US-332EM
- Health Information Privacy Complaint Form for filing with HIPAA Privacy Office US-354EM
- Reporting Safety or Health Hazards Policy Notice US-431EM
- Notice of Unsafe or Unhealthful Condition US-441EM
- Employee Safety and Health Handout US-AHI-271
- Safety or Health Hazards Report Form US-AHI-287
- Family Medical Leave Act information regarding COVID-19 coronavirus US-CVD-001
- Employee Questionnaire regarding COVID-19 coronavirus US-CVD-003
- Employee Authorization to Disclose COVID-19 Coronavirus Test Result US-CVD-004
- Letter for COVID-19 Coronavirus Essential Employee Authorization to Work US-CVD-005
- Company Notice regarding COVID-19 coronavirus exposure US-CVD-009
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