Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Cigna Leave Solutions before sending sensitive documents. FaxFlow is not affiliated with this organization.
Cigna Leave Solutions fax number
(866) 931-5095
FMLA/ADA Administration (Leave Solutions)
Used for: Submit the FMLA/Military Family Leave certification forms to Cigna Leave Solutions; they review, process, and respond with approvals, requests for additional information, or notices. The specific form in question is the Certification for Serious Injury or Illness of a Covered Servicemember for Military Family Leave (FMLA).
Fax destination details
- Department
- FMLA/ADA Administration (Leave Solutions)
- Purpose
- Submit the FMLA/Military Family Leave certification forms to Cigna Leave Solutions; they review, process, and respond with approvals, requests for additional information, or notices. The specific form in question is the Certification for Serious Injury or Illness of a Covered Servicemember for Military Family Leave (FMLA).
- Form
- FMLA Certification for Military Family Leave — Certification for Serious Injury or Illness of Covered Servicemember for Military Family Leave (Family and Medical Leave Act)
- Address
- P.O. Box 709015, Dallas, TX 75370-9015
- Voice phone
- 1-888-842-4462
- Website
- Visit organization website
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.
Return the completed certification to CIGNA Leave Solutions at P.O. Box 709015, Dallas, TX 75370-9015; Fax: 1-866-931-5095; Phone: 1-888-842-4462. The form includes Part A (employee information), Part B (health care provider information and medical status), and Part C (care needs).
Official form instructions are published as a downloadable file on the organization's website.
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