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Delta Air Lines – Leave and Disability Management Center (via Sedgwick Claims Management Services, Inc.) fax number

(800) 922-8914

Delta Absence Management Center (Leave & Disability Management)

Used for: FMLA/CFRA medical certification submission

Fax destination details

Department
Delta Absence Management Center (Leave & Disability Management)
Purpose
FMLA/CFRA medical certification submission
Form
CFRA/FMLA Medical Certification Form — Certification of Health Care Provider Form for CFRA/FMLA Leave
Address
Delta Absence Management Center, PO Box 14455, Lexington, KY 40512-4455
Voice phone
877-673-3582

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Medical certification should be completed by the health care provider and returned to the Delta Absence Management Center. Send the signed, complete form to Delta Absence Management Center, PO Box 14455, Lexington, KY 40512-4455, or fax to 800-922-8914. The employee should provide the form to their medical provider.

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