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1 of 2 tasks complete
Remaining · 1
Review leave application
Closed · 1
The certification on the correct form. The form submitted was not the one required for this leave type. Updated provider information — the health care provider who signed your certification could not be verified.
4 of 5 criteria complete
Employer response
Employer review submitted; employer information matches the claim.
Identity verification
Claimant identity verified (state ID / DMV match).
Earnings threshold
Automated financial eligibility determination.
Leave balance
Claimant has sufficient leave balance.
Certification documentation
Supporting documentation for medical leave.
Sep 25, 2026
Wrong form submitted, Health care provider could not be verified
I accidentally entered the name of my PCP. Here is the correct provider information: Dr. So and So Acme Medical Group Virginia Beach, VA. 987-555-5555
How to read this feed
This timeline shows how a case has moved through adjudication. Related supporting activity is grouped under each milestone.
Key milestones include:
Workflow status changes
Decision criteria updates
Tasks completed
Tasks created
Case data edits and determinations
Information requests
Evidence received
Assignee changes
Case notes are not visible to the claimant.
Latest supporting activity · 33 days ago
I accidentally entered the name of my PCP. Here is the correct provider information: Dr. So and So Acme Medical Group Virginia Beach, VA. 987-555-5555