Certification for Medical Leave. A written communication from a health care provider of an employee with a serious health condition or illness to the employer, 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. a statement that the employee is unable to perform the functions of the employee's job;
Certification for Medical Leave. When requesting medical leave (including FMLA/CFRA leave) for the employee or employee’s family member, the employee must provide a written medical certification from a health care provider of a person for whose care the leave is being taken or for the employee’s own serious health condition, which need not identify the diagnosis or serious health condition involved, but must contain:
1. the date, if known, on which the serious health condition commenced;
2. the probable duration of the condition;
3. for family care, an estimate of the frequency and duration of the leave required to render care or supervision for the family member;
4. for an employee’s serious health condition, a statement whether the employee is able to work, or is unable to perform one or more of the essential functions of his/her position;
5. if for intermittent leave or a reduced work schedule leave, the certification should indicate the intermittent leave or reduced work schedule needed for the employee’s serious health condition or for the care of the employee’s family member, and its expected duration.
Certification for Medical Leave. 1. For leaves taken to care for a sick spouse, child, or parent of the employee or due to a serious health condition of the employee, the Employer may require certification issued by the health care provider of the eligible employee or of the child, spouse or parent of the employee, as appropriate. This certification shall be sufficient if it states:
a. The date on which the serious health condition commenced;
b. The probable duration of the condition;
c. The appropriate medical facts within the knowledge of the health care provider regarding the condition;
d. When applicable, a statement that the employee is needed to care for child, spouse or parent of the employee and an estimate of the amount of time that the employee is needed to provide such care;
e. When applicable, a statement that the employee is unable to perform the functions of the position of the employee;
f. In cases of certification of intermittent leave or leave on a reduced leave schedule for planned medical treatment the dates on which the treatment is expected to be given and the duration of the treatment;
g. In cases of intermittent leave or leave on a reduced schedule due to an employee's serious health condition, a statement of the medical necessity for the intermittent leave or leave on a reduced schedule and the expected duration of the intermittent leave from the leave schedule; and
h. When intermittent leave or leave on a reduced leave schedule is requested for the purpose of caring for a child, spouse, or parent of the employee, a statement that the employee's intermittent leave or leave on a reduced leave schedule is necessary for the care of the child, parent of the employee or spouse, who has a serious health condition, or assist in their recovery, and the expected duration and schedule of the intermittent leave or reduced leave schedule.
Certification for Medical Leave. When requesting medical leave (including FMLA/CFRA leave) for the employee or employee’s family member, the employee must provide a written/electronic medical certification from a health care provider of a person for whose care the leave is being taken or for the employee’s own serious health condition which need not identify the diagnosis or 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;
