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

Certification of Health Care Provider for Family Member'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: What is a Certification of Health Care Provider?
A: A Certification of Health Care Provider is a document used to verify the serious health condition of a family member for the purposes of taking leave under the Family and Medical Leave Act (FMLA).

Q: Who can provide a Certification of Health Care Provider?
A: A Certification of Health Care Provider can be provided by a licensed health care provider, which includes doctors, nurse practitioners, and other medical professionals.

Q: What does the Certification of Health Care Provider verify?
A: The Certification of Health Care Provider verifies the serious health condition of a family member, including the diagnosis, nature of the condition, and expected duration of the condition.

Q: Do I need a Certification of Health Care Provider to take leave under the FMLA?
A: Yes, in order to take leave under the FMLA for a family member's serious health condition, you will typically need to provide a Certification of Health Care Provider.

Q: Are there any specific requirements for the Certification of Health Care Provider?
A: Each employer may have their own specific requirements for the Certification of Health Care Provider, so it's important to check with your employer for their specific guidelines.

Q: Can my employer request additional information or a second opinion for the Certification of Health Care Provider?
A: Yes, your employer can request additional information or a second opinion if they have reason to doubt the validity of the Certification of Health Care Provider.

Q: Is there a fee for obtaining a Certification of Health Care Provider?
A: There may be a fee associated with obtaining a Certification of Health Care Provider, depending on the health care provider and your insurance coverage.

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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 Family Member's Serious Health Condition Under the Family and Medical Leave Act - Delaware

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