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How do I fill this out?
To fill out this form, begin by reviewing each section carefully. Make sure to provide accurate and complete information. Finally, ensure you sign and date the form before submission.
How to fill out the Certificate of Medical Examination Instructions?
1
Read the instructions thoroughly.
2
Fill in personal and medical details.
3
Have the appointing officer complete their sections.
4
Get the examining physician's signature.
5
Submit the completed form promptly.
Who needs the Certificate of Medical Examination Instructions?
1
Federal employees undergoing medical exams.
2
Job applicants for positions requiring medical clearance.
3
Current employees seeking position changes with medical requirements.
4
Any personnel needing to prove fitness for duty.
5
Individuals applying for positions in law enforcement.
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What are the instructions for submitting this form?
To submit the Certificate of Medical Examination, you need to send the completed form to your assigned agency. You can send it via email or fax to the human resources department. Additionally, providing a physical copy by mail to the HR office at the designated address ensures your submission is recorded.
What are the important dates for this form in 2024 and 2025?
The Certificate of Medical Examination is valid as per OMB No. 3206 - 0250. Ensure to check for any revisions or updates that may occur in 2024 and 2025.
What is the purpose of this form?
The purpose of the Certificate of Medical Examination is to assess the medical fitness of federal employees and applicants. This is crucial to ensure that individuals meet the necessary health standards for their required job roles. By collecting essential medical information, this form aids in maintaining workplace safety and operational efficiency.
Tell me about this form and its components and fields line-by-line.
- 1. Name: The individual's full name, including last, first, and middle initial.
- 2. Federal Employee Number: Unique identification number assigned to federal employees.
- 3. Sex: The applicant's gender.
- 4. Birth Date: Date of birth in month, day, and year format.
- 5. Address: Complete mailing address, including city, state, and zip code.
- 6. Medical Disorders: Disclosure of any medical conditions affecting job duties.
- 7. Signature: The applicant's signature certifying accuracy of information.
What happens if I fail to submit this form?
Failure to submit the Certificate of Medical Examination may result in disqualification from the application or employment process. Your eligibility for the role may be compromised without completion of this form.
- Delayed Employment Processing: Incomplete forms may lead to longer processing times for employment applications.
- Ineligibility for Job Roles: Not submitting this form can result in not being considered for job positions.
- Risk of Employment Termination: Current employees may face job termination if they fail to comply.
How do I know when to use this form?
- 1. Federal Employment Application: Required for applying to federal jobs requiring fitness.
- 2. Position Change Request: Used when changing roles within federal employment that include medical assessments.
- 3. Pre-employment Medical Screening: Necessary for clearing medical evaluations before starting a new position.
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