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Sedgwick (Sedgwick Claims Management Services, Inc.) fax number

(859) 264-4372

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Leave of Absence (LOA) / STD claims

Used for: File a leave of absence, submit STD/LOA claim, or report an absence for intermittent leave for Walmart associates; submissions are directed to Sedgwick, which handles LOA/claims on behalf of Walmart. The fax number 859-264-4372 is used for these submissions.

Fax destination details

Department
Leave of Absence (LOA) / STD claims
Purpose
File a leave of absence, submit STD/LOA claim, or report an absence for intermittent leave for Walmart associates; submissions are directed to Sedgwick, which handles LOA/claims on behalf of Walmart. The fax number 859-264-4372 is used for these submissions.
Form
Return to Work Certification; Leave of Absence claim forms — Return to Work Certification (Medical Leave); Leave of Absence Claim Form
Address
P.O. Box 14028, Lexington, KY 40512
Voice phone
800-492-5678

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Complete the LOA form with sections for Associate information, Health Care Provider, and Manager/HR review, then submit via fax to Sedgwick or via Walmart's LOA channels as directed.

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