Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with New York City Health + Hospitals (NYC Health + Hospitals) – HRSS Leaves Administration before sending sensitive documents. FaxFlow is not affiliated with this organization.
New York City Health + Hospitals (NYC Health + Hospitals) – HRSS Leaves Administration fax number
(646) 694-6590
HRSS Leaves Administration (Leaves of Absence)
Used for: Submitting leaves of absence paperwork (LOA) and handling related FMLA/Paid Family Leave processes; intake and status communications with HRSS Leaves Administration.
Fax destination details
- Department
- HRSS Leaves Administration (Leaves of Absence)
- Purpose
- Submitting leaves of absence paperwork (LOA) and handling related FMLA/Paid Family Leave processes; intake and status communications with HRSS Leaves Administration.
- Form
- FMLA Form 2678 — Certification of Health Care Provider for Family Member's Serious Health Condition – Family and Medical Leave Act (FMLA) Form 2678
- Address
- 55 Water Street, 26th Floor, New York, NY 10041
- Voice phone
- 646-694-6590
- 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.
Submit forms to HRSS Leaves Administration; refer to the agency's FMLA/LOA guidelines for eligibility and submission requirements.
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