Certification of Health Care Provider for Employee's Serious Health Condition Under the Family and Medical Leave Act - Delaware

Certification of Health Care Provider for Employee's Serious Health Condition Under the Family and Medical Leave Act - Delaware

Certification of Health Serious Health Condition Under the Family and Medical Leave Act is a legal document that was released by the Delaware Department of Human Resources - a government authority operating within Delaware.

FAQ

Q: Who is eligible for Family and Medical Leave Act (FMLA) in Delaware?
A: Employees who have worked for at least 12 months and have worked a minimum of 1,250 hours in the past 12 months.

Q: What is a serious health condition under the FMLA?
A: A serious health condition is an illness, injury, impairment, or physical or mental condition that requires inpatient care or continuing treatment by a health care provider.

Q: Does FMLA guarantee paid leave?
A: No, FMLA provides eligible employees with up to 12 weeks of unpaid leave per year.

Q: What is the purpose of the Certification of Health Care Provider form?
A: The form is used to establish an employee's eligibility for FMLA leave based on a serious health condition and to provide the necessary medical information to support the leave request.

Q: Who can complete the Certification of Health Care Provider form?
A: Health care providers including doctors, nurse practitioners, or physician assistants can complete the form.

Q: Can an employer request a second opinion on the Certification of Health Care Provider?
A: Yes, the employer may request a second opinion at the employer's expense if they have reason to doubt the validity of the initial certification.

Q: What happens if an employee fails to provide a complete and sufficient Certification of Health Care Provider?
A: If the employee fails to provide a complete and sufficient certification, the employer may deny the FMLA leave request.

Q: Can an employer contact the health care provider to clarify or authenticate the Certification of Health Care Provider?
A: Yes, the employer may contact the health care provider to clarify or authenticate the certification, but should follow certain restrictions and guidelines.

Q: Is the Certification of Health Care Provider confidential?
A: Yes, the certification and any medical information obtained must be kept confidential and should not be disclosed to others in the workplace.

Q: What happens after the employee returns from FMLA leave?
A: Upon returning from FMLA leave, the employee is entitled to be reinstated to the same position or an equivalent position with the same benefits, pay, and working conditions.

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Form Details:

  • Released on December 2, 2022;
  • The latest edition currently provided by the Delaware Department of Human Resources;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Delaware Department of Human Resources.

Download Certification of Health Care Provider for Employee's Serious Health Condition Under the Family and Medical Leave Act - Delaware

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