Certification for Family Care Leave. A written communication to the employer from a health care provider of a person for whose care the leave is being taken which need not identify the serious health condition involved, but shall contain: 1. the date, if known, on which the serious health condition commenced; 2. the probable duration of the condition; 3. an estimate of the amount of time which the employee needs to render care or supervision; 4. a statement that the serious health condition warrants the participation of a family member to provide care during period of treatment or supervision;
Appears in 29 contracts
Samples: Memorandum of Understanding, Memorandum of Understanding, Memorandum of Understanding
Certification for Family Care Leave. A written communication to the employer from a health care provider of a person for whose care the leave is being taken which need not identify the serious health condition involved, but shall contain:
1. the date, if known, on which the serious health condition commenced;
2. the probable duration of the condition;
3. an estimate of the amount of time which the employee needs to render care or supervision;
4. a statement that the serious health condition warrants the participation of a family member to provide care during period of treatment or supervision;
Appears in 11 contracts
Samples: Memorandum of Understanding, Memorandum of Understanding, Memorandum of Understanding
Certification for Family Care Leave. A written communication to the employer from a health care provider of a person for whose care the leave is being taken which need not identify the serious health condition involved, but shall contain:
1. a. the date, if known, on which the serious health condition commenced;
2. b. the probable duration of the condition;
3. c. an estimate of the amount of time which the employee needs to render care or supervision;
4. d. a statement that the serious health condition warrants the participation of a family member to provide care during period of treatment or supervision;
Appears in 2 contracts
Samples: Memorandum of Understanding, Memorandum of Understanding
Certification for Family Care Leave. A written communication to the employer from a health care provider of a person for whose care the leave is being taken which need not identify the serious health condition involved, but shall contain:
1. : o the date, if known, on which the serious health condition commenced;
2. ; o the probable duration of the condition;
3. ; o an estimate of the amount of time which the employee needs to render care or supervision;
4. a statement that the serious health condition warrants the participation of a family member to provide care during period of treatment or supervision;
Appears in 2 contracts
Samples: Memorandum of Understanding, Memorandum of Understanding
Certification for Family Care Leave. A written communication to the employer from a health care provider of a person for whose care the leave is being taken which need not identify the serious health condition involved, but shall contain:
1. the date, if known, on which the serious health condition commenced;
2. the probable duration of the condition;
3. an estimate of the amount of time which the employee needs to render care or supervision;
4. a statement that the serious health condition warrants the participation of a family member to provide care during period of treatment or supervision;
Appears in 1 contract
Samples: Memorandum of Understanding
Certification for Family Care Leave. A written communication to the employer from a health care provider of a person for whose care the leave is being taken which need not identify the serious health condition involved, but shall contain:
1. the date, if known, on which the serious health condition commenced;
2. the probable duration of the condition;
3. an estimate of the amount of time which the employee needs to render care or supervision;
4. a statement that the serious health condition warrants the participation of a family member to provide care during period of treatment or supervision;
Appears in 1 contract
Samples: Memorandum of Understanding
Certification for Family Care Leave. A written communication to the employer from a health care provider of a person for whose care the leave is being taken which need not identify the serious health condition involved, but shall contain:
1. the The date, if known, on which the serious health condition commenced;.
2. the The probable duration of the condition;.
3. an An estimate of the amount of time which the employee needs to render care or supervision;
4. a statement that the serious health condition warrants the participation of a family member to provide care during period of treatment or supervision;.
Appears in 1 contract
Samples: Memorandum of Understanding