Coverage
Every form PatientPapers completes.
This page is generated from the app’s own form catalogue — nobody writes it, and a test fails if it ever disagrees with what the software ships.
Work absence (FMLA)
FMLA medical certifications — federal DOL forms and carrier/TPA equivalents.
| Jurisdiction | Form | Status |
|---|---|---|
| Federal | Care for a family member (WH-380-F) | Available |
| Federal | Employee's own condition (WH-380-E) | Available |
| Nationwide | MetLife — care for a family member (caregiver certification) | Not available |
| Nationwide | MetLife — employee's own condition (DIS-HCPC-FMLA-ESHC) | Not available |
| Nationwide | Standard Insurance — care for a family member (SI 14602) | Not available |
| Nationwide | Standard Insurance — employee's own condition (SI 14564) | Not available |
Disabled parking
State & DC accessible-parking placard physician certifications.
| Jurisdiction | Form | Status |
|---|---|---|
| Alabama | Physician certification (MVR-32-6-230) | Available |
| Alaska | Part 2 medical professional (Form 861) | Available |
| Arizona | Health professional certification (96-0104) | Available |
| Arkansas | Provider certification (Form 10-336, overlay) | Available |
| California | REG-195 Section 6 (overlay) | Available |
| Colorado | Professional certification (DR 2219) | Available |
| Connecticut | Part B certifier statement (B-225P, overlay) | Available |
| Delaware | Physician certification (MV474) | Available |
| District of Columbia | Practitioner certification | Available |
| Florida | Certifying authority statement (HSMV-83039) | Available |
| Georgia | Section D health-care-provider certification (MV-9D, overlay) | Available |
| Hawaii | Side 2 physician certification (PA-3, overlay) | Available |
| Idaho | Medical certification (ITD-3392) | Available |
| Illinois | Parts 3 & 4 medical professional certifications (VSD 62.33 ADA) | Available |
| Indiana | Health care provider certification (SF 42070) | Available |
| Iowa | Provider medical statement (letter, §321L.1(8)) | Available |
| Kansas | Healing Arts licensed professional statement (TR-159, overlay) | Available |
| Kentucky | Section 2 physician certification (TC 96-347, overlay) | Available |
| Louisiana | Medical Examiner's Certification (DPSMV-1966) | Available |
| Maine | Disability Placard/Plates certification (PS-18) | Available |
| Maryland | Physician certification (VR-210) | Available |
| Massachusetts | Sections F & G health-care provider (overlay) | Available |
| Michigan | Part 2 medical determination (BFS-108) | Available |
| Minnesota | Health professional certification (PS2005) | Available |
| Mississippi | Physician certification (76-104, overlay) | Available |
| Missouri | Physician’s Statement (Form 1776) | Available |
| Montana | Section 1b medical certification (MV5-DSB, overlay) | Available |
| Nebraska | Certification of Disability (Handicapped Permit) | Available |
| Nevada | Physician/PA/APRN/OT/PT certification (SP-27) | Available |
| New Hampshire | Disabled-parking placard certification | Not available |
| New Jersey | Practitioner certification (letter, N.J.A.C. 13:20-9.1) | Available |
| New Mexico | Physician certification (MVD 10383) | Available |
| New York | Part 2 medical certification (MV-664.1) | Available |
| North Carolina | Medical Certification (MVR-37A) | Available |
| North Dakota | Medical provider certification (SFN 2886) | Available |
| Ohio | Placard prescription & medical statement (letter, R.C. 4503.44) | Available |
| Oklahoma | Section 2 physician statement (overlay) | Available |
| Oregon | Physician certification (735-265) | Available |
| Pennsylvania | Section B health-care-provider certification (MV-145A) | Available |
| Rhode Island | Physician certification (reverse, overlay) | Available |
| South Carolina | Placard certification (RG-007A) | Available |
| South Dakota | Physician Confirmation (MV-044, overlay) | Available |
| Tennessee | Physician certification (RV-F1310301) | Available |
| Texas | Disabled-parking placard certification (VTR-214) | Available |
| Utah | Physician certification (TC-842) | Available |
| Vermont | Disabled-parking placard certification | Not available |
| Virginia | Medical certification (MED 10) | Available |
| Washington | Healthcare provider section (TD-420-073) | Available |
| West Virginia | Part II physician certification (DMV-41-TR, overlay) | Available |
| Wisconsin | Health care specialist certification (MV2548) | Available |
| Wyoming | Disability Certification (FSDI-915) | Available |
Workers' comp
Federal OWCP/FECA duty-status and attending-physician reports.
| Jurisdiction | Form | Status |
|---|---|---|
| Federal | Federal workers’ comp — attending physician’s report (CA-20) | Available |
| Federal | Federal workers’ comp — duty status report (CA-17) | Available |
Disability claims (APS)
Attending-physician statements for STD/LTD insurance claims.
| Jurisdiction | Form | Status |
|---|---|---|
| Nationwide | Lincoln short-term disability — attending physician statement (GLC-01817) | Not available |
| Nationwide | Standard Insurance — employee/attending physician's statement (SI 2047) | Not available |
| Nationwide | Student-loan disability discharge (TPD, Section 6) | Not available |
| Nationwide | The Hartford — attending physician statement, initial (LC-7135) | Not available |
| Nationwide | Unum — short-term disability attending physician statement (CL-1104) | Not available |
Letters & notes
Letterhead notes we compose: return-to-work, accommodations (ADA/PWFA/housing/college), jury & court, school, utility, USPS, transit, trash cart, medication coverage.
| Jurisdiction | Form | Recipient obligation | Status |
|---|---|---|---|
| Nationwide | ADA accommodation support letter | Available | |
| Nationwide | College / testing accommodations verification | Not available | |
| Nationwide | Court appearance excuse / continuance | Available | |
| Nationwide | Housing accommodation letter (Fair Housing Act) | Not available | |
| Nationwide | Jury duty medical excuse / postponement | Available | |
| Nationwide | Medication coverage letter (exception / appeal) | Not available | |
| Nationwide | Paratransit / reduced-fare transit support | Not available | |
| Nationwide | Pregnancy accommodation letter (PWFA) | Not available | |
| Nationwide | Return-to-work / fitness-for-duty note | Available | |
| Nationwide | School / daycare medical note | Available | |
| Nationwide | School dietary accommodation statement | Not available | |
| Nationwide | Trash / roll-cart assistance certification | Not available | |
| Nationwide | USPS hardship (door) delivery request | Not available | |
| Nationwide | Utility medical-necessity certification | Whether a recipient must act on this letter depends on the state and who supplies the power. | Not available |
| Nationwide | Work restriction note | Available |
A form on this list is one PatientPapers completes for your signature. It is not a statement that any employer, insurer or agency must accept the result — no software can promise that. See pricing →