Authorization for Release of Medical Information From Treating Health Request for Fmla Leave is a legal document that was released by the Minnesota Management and Budget - a government authority operating within Minnesota.
Q: What is FMLA leave?
A: FMLA leave is a federal law that allows eligible employees to take unpaid time off work for certain medical and family reasons.
Q: What is the Authorization for Release of Medical Information?
A: The Authorization for Release of Medical Information is a form that allows your treating health care provider to release your medical information to your employer in connection with your request for FMLA leave.
Q: Why do I need to sign the Authorization for Release of Medical Information?
A: You need to sign the Authorization for Release of Medical Information so that your employer can obtain your medical information to verify your need for FMLA leave.
Q: Is the Authorization for Release of Medical Information required in Minnesota?
A: Yes, the Authorization for Release of Medical Information is required in Minnesota for requesting FMLA leave.
Q: Who should sign the Authorization for Release of Medical Information?
A: You should sign the Authorization for Release of Medical Information to give your treating health care provider permission to release your medical information to your employer.
Form Details:
Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Minnesota Management and Budget.