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FMLA: Forms | U.S. Department of Labor - DOL

    https://www.dol.gov/agencies/whd/fmla/forms
    An employee can provide the required information contained on a certification form in any format, such as on the letterhead of the healthcare provider, or official documentation issued by the military. Please do not send any completed certification forms to the U.S. Department of Labor, Wage and Hour Divi… See more

Certification of Health Care Provider for U.S.

    https://www.dol.gov/sites/dolgov/files/WHD/legacy/files/WH-380-E.pdf
    The Family and Medical Leave Act (FMLA) provides that an employer may require an employee seeking FMLA protections because of a need for leave due to a serious health …

Family and Medical Leave Act Certification of a Serious …

    https://www.dol.gov/agencies/whd/fmla/certification-of-a-serious-health-condition
    When an employer requires a certification, the certification does not need to provide the patient’s diagnosis but does need to state appropriate medical facts that indicate …

A Guide to the New FMLA Forms - SHRM

    https://www.shrm.org/resourcesandtools/legal-and-compliance/employment-law/pages/guide-new-fmla-forms.aspx
    The Department of Labor revised Family and Medical Leave Act (FMLA) forms this summer, resulting …

Fact Sheet #28G: Certification of a Serious Health …

    https://www.dol.gov/agencies/whd/fact-sheets/28g-fmla-serious-health-condition
    Certification forms - The FMLA does not require the use of any specific certification form. The Department has developed optional forms that can be used for leave for an …

Ensure FMLA Medical Certifications Are …

    https://www.shrm.org/ResourcesAndTools/legal-and-compliance/employment-law/Pages/FMLA-complete-and-authentic-certifications.aspx
    Ensure FMLA Medical Certifications Are Complete and Authentic Complete and authentic Family and Medical Leave Act (FMLA) medical certifications are …

Family and Medical Leave Act | U.S.

    https://www.dol.gov/agencies/whd/fmla
    The FMLA entitles eligible employees of covered employers to take unpaid, job-protected leave for specified family and medical reasons with continuation of group health …

Paid Leave Certification Forms

    https://paidleave.wa.gov/app/uploads/2020/05/Paid-Leave-Certification-Forms.pdf
    Medical leave due to your own serious health condition Certification of Serious Health Condition Form (pages 1 and 2) or the US Department of Labor’s FMLA Certification of …

FMLA Certification: Everything You Need to Know

    https://www.upcounsel.com/fmla-certification
    An FMLA medical certification is a fairly short form that must be filled out by a health care provider. This document is then given to the employer to help establish …

Certification of Serious Health Condition form – …

    https://paidleave.wa.gov/help-center/healthcare-providers/certification-of-serious-health-condition-form/
    If your patient’s family member is applying for family leave to care for your patient, you can fill out the certification form (or other acceptable documentation) for the …



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