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Albertsons Companies fax number

(623) 336-6305

Centralized Leave Administration Team (CLT)

Used for: Submitting leave-of-absence documentation to the Centralized Leave Team (CLT); LOA paperwork includes requests such as pregnancy, intermittent, and medical leaves, often requiring Certification of Healthcare Provider (CHP) forms.

Fax destination details

Department
Centralized Leave Administration Team (CLT)
Purpose
Submitting leave-of-absence documentation to the Centralized Leave Team (CLT); LOA paperwork includes requests such as pregnancy, intermittent, and medical leaves, often requiring Certification of Healthcare Provider (CHP) forms.
Form
Certification of Healthcare Provider (CHP) form — Certification of Health Care Provider (CHP) Form
Address
250 E Parkcenter Blvd, Boise, ID 83706, USA
Voice phone
208-395-6200

Before you send

  • Confirm that this exact department handles your document or request.
  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
  • Keep the delivery confirmation with your submission records.

Complete CHP form and attach any required medical documentation; submit within 15 days of LOA initiation.

Official form instructions are published as a downloadable file on the organization's website.

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