Certification and Other Supporting Documentation. 1) CERTIFICATION WHEN FML IS TAKEN FOR THE EMPLOYEE'S OWN SERIOUS HEALTH CONDITION.
a) Certification that the employee has a serious health condition as defined in Section B.1.a., above; and
b) A statement as to whether the employee is unable to perform any one or more of the essential assigned functions of the position; and
c) The date on which the employee's serious health condition began, if known, the probable duration of the condition and the employee's probable date of return; and
d) Whether it will be medically necessary for the employee to take leave intermittently or to work on a reduced work schedule, and if so, the probable duration of such schedule; and
e) If the condition will result in periodic episodes of incapacity, an estimate of the duration and frequency of episodes of incapacity.
2) CERTIFICATION WHEN FML IS TAKEN TO CARE FOR THE EMPLOYEE'S FAMILY MEMBER WITH A SERIOUS HEALTH CONDITION.
a) Certification that the employee's family member has a serious health condition as defined in Section B.1.a., above ,and
b) A statement that the family member's serious health condition warrants the participation of the employee to provide supervision or care (which includes psychological comfort) during a period of the treatment or incapacity, and
c) Whether the employee's family member will need supervision or care over a continuous period of time, intermittently or on a reduced schedule basis; the leave schedule the employee will need in order to provide that care; and the probable duration that need for leave.
d) In addition, the employee will be required to certify either on the same form or separately the care s/he will provide the family member and the estimated duration of the period of care.
Certification and Other Supporting Documentation. 1) Certification When FML is Taken for the Employee's Own Serious Health Condition
a) a certification that the employee has a serious health condition as defined in Section B.1.a.(4). above, and
b) a statement as to whether the employee is unable to perform any one or more of the essential assigned functions of the position, and
c) the date on which the employee's serious health condition began, if known, the probable duration of the condition and the employee's probable date of return, and
d) whether it will be medically necessary for the employee to take leave intermittently or to work on a reduced work schedule, and if so, the probable duration of the need for such schedule, and,
e) if the condition will result in periodic episodes of incapacity, an estimate of the duration and frequency of episodes of incapacity.
Certification and Other Supporting Documentation a. Certification When FML Is Taken for the Academic Researcher’s Own Serious Health Condition When FML is requested for the Academic Researcher’s own serious health condition, the University may, at its discretion, require that an Academic Researcher’s request for leave be supported by written certification issued by the Academic Researcher’s health care provider. When certification is required by the University, such requirement shall be submitted to the Academic Researcher in writing. Certification may be provided by the Academic Researcher on a form given to the Academic Researcher by the University and shall, regardless of the format in which it is provided, include:
1) a certification that the Academic Researcher has a serious health condition as defined in Section B.2.d. above, and
2) a statement as to whether the Academic Researcher is unable to perform any one or more of the essential assigned functions of the position, and 3) the date, if known, on which the Academic Researcher’s serious health condition began, the probable duration of the condition and the Academic Researcher’s probable date of return, and
Certification and Other Supporting Documentation. Certification When FML Is Taken for the Employee’s Own Serious Health Condition.
Certification and Other Supporting Documentation. 1. When leave is requested for the employee's own serious health condition, the University may, at its discretion, require that an employee's request for FML be supported by a written certification issued to the University by the employee's health care provider. Such request to the employee shall be in writing. The certification may be provided on a form given to the employee by the University and shall, regardless of the format, in addition to certifying that the employee has a serious health condition, include the following:
a) a statement as to whether the employee is unable to perform any one or more of the essential assigned functions of the position;
b) the date, if known, on which the serious health condition commenced; the probable duration of the condition; and the employee’s probable date of return;
c) whether it will be m e d ic a lly necessary for the employee to take leave intermittently or to work on a reduced leave schedule, and if so, the probable duration of such schedule; and
d) if the condition will result in periodic episodes of incapacity, an estimate of the duration and frequency of episodes of incapacity.
2. When a leave of absence is requested for the serious health condition of the employee's family member, the University shall require that an employee's request for leave be supported by written certification issued by the family member's health care provider. When certification is required by the University, such requirement shall be submitted to the employee in writing. Certification may be provided by the employee on a form given to the employee by the University and shall, regardless of the format, in addition to certifying that the employee's family member has a serious health condition, include:
a) a statement that the serious health condition o f th e f a mil y me mb e r warrants the participation of the employee to provide supervision o r c ar e ( w h i ch i n cl u d es p s ych o l o g i c al c o xx x x x) d u r in g a p e r io d o f t h e tr e a tm e n t o r i n cap a ci t y;
b) whether the employee's family member will need supervision or care over a continuous period of time, intermittently or on a reduced schedule basis; the leave schedule the employee will need in order to provide that care; and the probable duration that the employee is needed to provide care; and
c) In addition, the employee will be required to certify either on the form or separately the care he/she will provide to the family member and the estimate...
Certification and Other Supporting Documentation. 1) If FML Is Requested For The Nurse's Own Serious Health Condition – When a Nurse requests FML for the Nurse's own serious health condition, the University may require that the Nurse's request for leave be supported by written certification issued by the Nurse's health care provider. When certification is required by the University, such requirement shall be submitted to the Nurse in writing. Certification may be provided by the Nurse on a form given to the Nurse by the University and shall, regardless of the format, in addition to certifying that the Nurse has a serious health condition, include:
a) a statement as to whether the Nurse is unable to perform any one of the essential assigned functions of the Nurse's position, and b) the date, if known, on which the Nurse's serious health condition began, the probable duration of the condition and the Nurse's probable date of return, and
Certification and Other Supporting Documentation a. Certification When FML Is Taken for the Librarian’s Own Serious Health Condition When FML is requested for the Librarian’s own serious health condition, the University may, at its discretion, require that a Librarian’s request for leave be supported by written certification issued by the Librarian’s health care provider. When certification is required by the University, such requirement shall be submitted to the Librarian in writing. Certification may be provided by the Librarian on a form given to the Librarian by the University and shall, regardless of the format in which it is provided, include:
1) a certification that the Librarian has a serious health condition as defined in Section A.2.d. above, and
2) a statement as to whether the Librarian is unable to perform any one or more of the essential assigned functions of the position, and 3) the date, if known, on which the Librarian’s serious health condition began, the probable duration of the condition and the Librarian’s probable date of return, and
Certification and Other Supporting Documentation
