FMLA: Week 4 Follow-Up Survey
Name: 


A red asterisk (*) indicates required questions.

  1. Are you familiar with SIR?
    *


  1. I am comfortable processing medical certifications on my own...
    *


  1. I am comfortable answering and making calls on my own...
    *


  1. I am familiar with the Serious Health Conditions
    *


  1. Are you able to complete assigned diaries?
    *


  1. At this time I would like additional training for the following process and or procedures:
    *


  1. If you would like to provide any additional feedback, please provide this information below:
    *





Quality Team
MI