Forms for Physician Office to Download
	Click on a form to download.
	Physician's Certificate for Disability Benefits - PDF If you are unable or unwilling to phone Sedgwick with the initial medical certification for your patient, download this form and return it to Sedgwick. Request for Extension of Self-Insured Disability Benefits - PDF If your patient has not recovered or is not able to return to work on the scheduled return to work date, or you are unable or unwilling to phone Sedgwick with an extension for disability benefits, download this form and return it to Sedgwick. Physician's Certificate For Paid Family Leave - PDF If you are unable or unwilling to phone Sedgwick with the initial medical certification for your patient, download this form and return it to Sedgwick. PDF file requires Adobe Acrobat Reader