Certification of Health Care Provider for Employee's Serious Health Condition (Family and Medical Leave Act)

The Certification of Health Care Provider for Employee's Serious Health Condition is used for medical documentation required by the Family and Medical Leave Act (FMLA). It verifies the employee's need for leave due to their own or their family member's serious health condition.

The employee's health care provider files the Certification of Health Care Provider for Employee's Serious Health Condition under the Family and Medical Leave Act.

FAQ

Q: What is the Certification of Health Care Provider?
A: The Certification of Health Care Provider is a form used to verify the serious health condition of an employee or their family member under the Family and Medical Leave Act (FMLA).

Q: Who can complete the Certification of Health Care Provider?
A: The Certification of Health Care Provider can be completed by a licensed health care provider, such as a doctor, nurse, or other medical professional.

Q: What information is included in the Certification of Health Care Provider?
A: The Certification of Health Care Provider includes information about the employee's or family member's medical condition, the expected duration of the condition, and the need for leave.

Q: When is the Certification of Health Care Provider required?
A: The Certification of Health Care Provider is required when an employee requests leave for their own or a family member's serious health condition that qualifies under the FMLA.

Q: Do I need to provide the Certification of Health Care Provider for every absence?
A: No, the Certification of Health Care Provider generally only needs to be provided once every 30 days, unless there is a significant change in the condition or duration of the leave.

Q: Is the information on the Certification of Health Care Provider confidential?
A: Yes, the information on the Certification of Health Care Provider is confidential and should be kept separate from the employee's personnel files.

Q: What happens if I fail to provide the Certification of Health Care Provider?
A: If you fail to provide the Certification of Health Care Provider when requested, your request for FMLA leave may be denied.