Medical Certification For Employee Fmla - Form #1b - Memphistn: Fill & Download for Free

Response based on U.S. law: If you have worked for your employer for 12 months and 1,250 hours during the past year, you may be eligible for legally protected Family and Medical Leave Act leave. The FMLA provides employees with up to 12 weeks of unpaid leave for a serious medical condition. The condition can be physical or mental. You would need to provide a medical certification signed by a health care provider on a form that you can obtain from HR or online. (WH-380, I believe). Visit U.S. Department of Labor and search for Family & Medical Leave.General information: Not intended as legal advice.

Eligibility for FMLA LeaveQ. I have 12 months of service with my employer, but they are not consecutive. Do I still qualify for FMLA?A. You may. In order to be eligible to take leave under the FMLA, an employee must (1) work for a covered employer, (2) work 1,250 hours during the 12 months prior to the start of leave, (3) work at a location where 50 or more employees work at that location or within 75 miles of it, and (4) have worked for the employer for 12 months. The 12 months of employment are not required to be consecutive in order for the employee to qualify for FMLA leave. The regulations clarify, however, that employment prior to a continuous break in service of seven years or more need not be counted unless the break in service is (1) due to an employee’s fulfillment of military obligations, or (2) governed by a collective bargaining agreement or other written agreement.Q. If I have to miss work due to National Guard or Reserve duty, will this affect my eligibility for FMLA leave?A. No. The regulations make clear the protections for our men and women serving in the military by stating that a break in service due to an employee’s fulfillment of military obligations must be taken into consideration when determining whether an employee has been employed for 12 months or has the required 1,250 hours of service.Under the Uniformed Services Employment and Reemployment Rights Act of 1994 (USERRA), hours that an employee would have worked but for his or her military service are credited toward the employee’s required 1,250 hours worked for FMLA eligibility. Similarly, the time in military service also must be counted in determining whether the employee has been employed at least 12 months by the employer.Example:Dean worked for his employer for six months in 2008, then was called to active duty status with the Reserves and deployed to Iraq. In 2009, Dean returned to his employer, requesting to be reinstated under the USERRA. Both the hours and the months that Dean would have worked but for his military status must be counted in determining his FMLA eligibility.Employer Notice RequirementsQ. What are an employer’s posting and general notice requirements?A. Employers must post a general notice explaining the FMLA's provisions and providing information regarding procedures for filing a claim under the Act in a conspicuous place where it can be seen by employees and applicants. Under the regulations, this posted notice includes additional information regarding the definition of a serious health condition, the new military family leave entitlements, and employer and employee responsibilities. Employers must also include the information in this general notice in any employee handbook or other written policies or manuals describing employee benefits and leave provisions. Additionally, under the regulations, an employer without a handbook or written guidance is required to provide this general notice to new employees upon hiring.Q. Is there a penalty if an employer fails to post the required FMLA notice?A. An employer that willfully fails to post the required FMLA notice may be assessed a civil monetary penalty. Under the regulations, the penalty is increased to $110.Q. How soon after an employee provides notice of the need for leave must an employer determine whether someone is eligible for FMLA leave?A. Absent extenuating circumstances, the regulations require an employer to notify an employee of whether the employee is eligible to take FMLA leave (and, if not, at least one reason why the employee is ineligible) within five business days of the employee requesting leave or the employer learning that an employee’s leave may be for a FMLA- qualifying reason.Q. Does an employer have to provide employees with information regarding their specific rights and responsibilities under the FMLA?A. At the same time an employer provides an employee notice of the employee’s eligibility to take FMLA leave, the employer must also notify the employee of the specific expectations and obligations associated with the leave. Among other information included in this notice, the employer must inform the employee whether the employee will be required to provide certification of the FMLA-qualifying reason for leave and the employee’s right to substitute paid leave (including any conditions related to such substitution, and the employee’s entitlement to unpaid FMLA leave if those conditions are not met). If the information included in the notice of rights and responsibilities changes, the employer must inform the employee of such changes within five business days of receipt of the employee’s first notice of the need for FMLA leave subsequent to any change. Employers are expected to responsively answer questions from employees concerning their rights and responsibilities.Q. How soon after an employee provides notice of the need for leave must an employer notify an employee that the leave will be designated and counted as FMLA leave?A. Under the regulations, an employer must notify an employee whether leave will be designated as FMLA leave within five business days of learning that the leave is being taken for a FMLA-qualifying reason, absent extenuating circumstances. The designation notice must also state whether paid leave will be substituted for unpaid FMLA leave and whether the employer will require the employee to provide a fitness-for-duty certification to return to work (unless a handbook or other written document clearly provides that such certification will be required in specific circumstances, in which case the employer may provide oral notice of this requirement). Additionally, if the amount of leave needed is known, an employer must inform an employee of the number of hours, days or weeks that will be counted against the employee’s FMLA leave entitlement in the designation notice. Where it is not possible to provide the number of hours, days, or weeks that will be counted as FMLA leave in the designation notice (e.g., where the leave will be unscheduled), an employer must provide this information upon request by the employee, but no more often than every 30 days and only if leave was taken during that period.Q. If an employer fails to tell an employee that leave has been designated as FMLA leave, can the employer count the leave against the employee's FMLA leave entitlement?A. The regulations revise the designation provisions to comply with the U.S. Supreme Court’s decision in Ragsdale v. Wolverine World Wide, Inc., 535 U.S. 81 (2002). Ragsdale ruled that a "categorical" penalty for failure to appropriately designate FMLA leave was inconsistent with the statutory entitlement to only 12 weeks of FMLA leave and contrary to the statute's remedial requirement to demonstrate individual harm. Under the regulations, retroactive designation is permitted if an employer fails to timely designate leave as FMLA leave (and notify the employee of the designation). The employer may be liable, however, if the employee can show that he or she has suffered harm or injury as a result of the failure to timely designate the leave as FMLA. Additionally, an employee and employer may agree to retroactively designate an absence as FMLA-protected.Example:Henry plans to take 12 weeks of FMLA leave beginning in August for the birth of his second child. Earlier in the leave year, however, Henry took two weeks of annual leave to care for his mother following her hospitalization for a serious health condition. Henry’s employer failed to notify him at the time of his mother’s hospitalization that the time he spent caring for his mother would be counted as FMLA leave. If Henry can establish that he would have made other arrangements for the care of his mother if he had known that the time would be counted against his FMLA entitlement, the two weeks his employer failed to appropriately designate may not count against his FMLA entitlement.Employee Notice RequirementsQ. How much notice must an employee give before taking FMLA leave?A. When the need for leave is foreseeable based on an expected birth, placement for adoption or foster care, or planned medical treatment, an employee must give at least 30 days notice. If 30 days notice is not possible, an employee is required to provide notice “as soon as practicable.” Employees must also provide notice as soon as practicable for foreseeable leave due to a qualifying exigency, regardless of how far in advance such leave is foreseeable (see FAQ for military family leave for additional information). The regulations clarify that it should be practicable for an employee to provide notice of the need for leave that is foreseeable either the same day or the next business day. In all cases, however, the determination of when an employee could practicably provide notice must account for the individual facts and circumstances.When the need for leave is unforeseeable, employees are required to provide notice as soon as practicable under the facts and circumstances of the particular case, which the regulations clarify will generally be within the time prescribed by the employer’s usual and customary notice requirements applicable to the leave.Example:When Mandy goes to her Monday physical therapy appointment for her serious health condition, she finds out that the appointment she had previously scheduled for Thursday has been changed to Friday. Upon her return to work after the Monday appointment, Mandy informs her employer that she will no longer need leave on Thursday for physical therapy, but will need leave on Friday instead. Mandy has provided notice of her need for foreseeable leave as soon as practicable.Q. What information must an employee give when providing notice of the need for FMLA leave?A. When an employee seeks leave for the first time for a FMLA-qualifying reason, the employee does not need to specifically assert his or her rights under FMLA, or even mention FMLA. The employee must, however, provide “sufficient information” to make the employer aware of the need for FMLA leave and the anticipated timing and duration of the leave.The regulations provide additional guidance for employees regarding what is “sufficient information.” Depending on the situation, such information may include that a condition renders the employee unable to perform the functions of the job; that the employee is pregnant or has been hospitalized overnight; whether the employee or the employee’s family member is under the continuing care of a health care provider; if the leave is due to a qualifying exigency, that a covered military member is on active duty and that the requested leave is for a qualifying exigency; if the leave is to care for a family member, that the condition renders the family member unable to perform daily activities, or that the family member is a covered servicemember with a serious injury or illness; and the anticipated duration of the absence if known.Additionally, the regulations require an employee seeking leave due to a FMLA- qualifying reason for which the employer has previously provided FMLA-protected leave either to reference specifically the qualifying reason for leave or the need for FMLA leave. In all cases, an employer should inquire further if it is necessary to have more information about whether FMLA leave is being sought by an employee.Q. Is an employee required to follow an employer’s normal call-in procedures when taking FMLA leave?A. Yes. Under the regulations, an employee must comply with an employer’s call-in procedures unless unusual circumstances prevent the employee from doing so (in which case the employee must provide notice as soon as he or she can practicably do so). The regulations make clear that, if the employee fails to provide timely notice, he or she may have the FMLA leave request delayed or denied and may be subject to whatever discipline the employer’s rules provide.Example:Sam has a medical certification on file with his employer for his chronic serious health condition, migraine headaches. He is unable to report to work at the start of his shift due to a migraine and needs to take unforeseeable FMLA leave. He follows his employer’s absence call-in procedure to timely notify his employer about his need for leave. Sam has provided his employer with appropriate notice.Certification of Need for FMLA LeaveQ. Do I have to give my employer my medical records for leave due to a serious health condition?A. No. An employee is not required to give the employer his or her medical records. The employer, however, does have a statutory right to request that an employee provide medical certification containing sufficient medical facts to establish that a serious health condition exists.Q. What if I do not want my employer to know about my medical condition?A. If an employer requests it, an employee is required to provide a complete and sufficient medical certification in order to take FMLA-protected leave due to a serious health condition.Q. How soon after I request leave does my employer have to request a medical certification of a serious health condition?A. Under the regulations, an employer should request medical certification, in most cases, at the time an employee gives notice of the need for leave or within five business days. If the leave is unforeseen, the employer should request medical certification within five days after the leave begins.A. An employer may request certification at a later date if it has reason to question the appropriateness or duration of the leave.Q. What happens if my employer says my medical certification is incomplete?A. An employer must advise the employee if it finds the certification is incomplete and allow the employee a reasonable opportunity to cure the deficiency. The regulations require that the employer state in writing what additional information is necessary to make the certification complete and sufficient. The regulations also require that the employer allow the employee at least seven calendar days to cure the deficiency, unless seven days is not practicable under the particular circumstances despite the employee’s diligent good faith efforts.Q. May my employer contact my health care provider about my serious health condition?A. The regulations clarify that contact between an employer and an employee’s health care provider must comply with the Health Insurance Portability and Accountability Act (HIPAA) privacy regulations. Under the regulations, employers may contact an employee’s health care provider for authentication or clarification of the medical certification by using a health care provider, a human resource professional, a leave administrator, or a management official. In order to address employee privacy concerns, the rule makes clear that in no case may the employee’s direct supervisor contact the employee’s health care provider. In order for an employee’s HIPAA-covered health care provider to provide an employer with individually-identifiable health information, the employee will need to provide the health care provider with a written authorization allowing the health care provider to disclose such information to the employer. Employers may not ask the health care provider for additional information beyond that contained on the medical certification form.Q. Must I sign a medical release as part of a medical certification?A. No. An employer may not require an employee to sign a release or waiver as part of the medical certification process. The regulations specifically state that completing any such authorization is at the employee’s discretion. Whenever an employer requests a medical certification, however, it is the employee’s responsibility to provide the employer with a complete and sufficient certification. If an employee does not provide either a complete and sufficient certification or an authorization allowing the health care provider to provide a complete and sufficient certification to the employer, the employee's request for FMLA leave may be denied.Q. How often may my employer ask for medical certifications for an on-going serious health condition?A. The regulations allow recertification no more often than every 30 days in connection with an absence by the employee unless the condition will last for more than 30 days. For conditions that are certified as having a minimum duration of more than 30 days, the employer must wait to request a recertification until the specified period has passed, except that in all cases the employer may request recertification every six months in connection with an absence by the employee. The regulations also allow an employer to request recertification in less than 30 days if the employee requests an extension of leave, the circumstances described in the previous certification have changed significantly, or if the employer receives information that casts doubt upon the employee’s stated reason for the absence or the continuing validity of the certification.Additionally, the regulations codify a 2005 Wage and Hour opinion letter that stated that employers may request a new medical certification each leave year for medical conditions that last longer than one year. Such new medical certifications are subject to second and third opinions.Examples:Janie takes six weeks of FMLA leave for a cancer operation and treatment and gives her employer a medical certification that states that she will be absent for six weeks. Because her certification covers a six-week absence, her employer cannot ask for a recertification during that time. At the end of the six-week period, Janie asks to take two more weeks of FMLA leave; her employer may properly ask Janie for a recertification for the additional two weeks.Joe takes eight weeks of FMLA leave for a back operation and intensive therapy, and gives his employer a medical certification that states that he will be absent for eight weeks. At the end of the eight-week period, Joe tells his employer that he will need to take three days of FMLA leave per month for an indefinite period for additional therapy; his employer may properly request a recertification at that time. Six months later, and in connection with an absence for therapy, the employer may properly ask Joe for another recertification for his need for FMLA leave.Q. Can employers require employees to submit a fitness-for-duty certification before returning to work after being absent due to a serious health condition?A. Yes. As a condition of restoring an employee who was absent on FMLA leave due to the employee’s own serious health condition, an employer may have a uniformly applied policy or practice that requires all similarly situated employees who take leave for such conditions to submit a certification from the employee’s own health care provider that the employee is able to resume work. Under the regulations, an employer may require that the fitness-for-duty certification address the employee's ability to perform the essential functions of the position if the employer has appropriately notified the employee that this information will be required and has provided a list of essential functions. Additionally, an employer may require a fitness-for-duty certification up to once every 30 days for an employee taking intermittent or reduced schedule FMLA leave if reasonable safety concerns exist regarding the employee's ability to perform his or her duties based on the condition for which leave was taken.Q. What happens if I do not submit a requested medical or fitness-for-duty certification?A. If an employee fails to timely submit a properly requested medical certification (absent sufficient explanation of the delay), FMLA protection for the leave may be delayed or denied. If the employee never provides a medical certification, then the leave is not FMLA leave.If an employee fails to submit a properly requested fitness-for-duty certification, the employer may delay job restoration until the employee provides the certification. If the employee never provides the certification, he or she may be denied reinstatement.Miscellaneous QuestionsQ. Can my FMLA leave be counted against me for my bonus?A. Under the regulations, an employer may deny a bonus that is based upon achieving a goal, such as hours worked, products sold or perfect attendance, to an employee who takes FMLA leave (and thus does not achieve the goal) as long as it treats employees taking FMLA leave the same as employees taking non-FMLA leave. For example, if an employer does not deny a perfect attendance bonus to employees using vacation leave, the employer may not deny the bonus to an employee who used vacation leave for a FMLA-qualifying reason.Example:Sasha uses ten days of FMLA leave during the quarter for surgery. Sasha substitutes paid vacation leave for her entire FMLA absence. Under Sasha’s employer’s quarterly attendance bonus policy, employees who use vacation leave are not disqualified from the bonus but employees who take unpaid leave are disqualified. Sasha’s employer must treat her the same way it would treat an employee using vacation leave for a non-FMLA reason and give Sasha the attendance bonus.Q. My medical condition limits me to a 40 hour workweek but my employer has assigned me to work eight hours of overtime in a week. Can I take FMLA leave for the overtime?A. Yes. Employees with proper medical certifications may use FMLA leave in lieu of working required overtime hours. The regulations clarify that the hours that an employee would have been required to work but for the taking of FMLA leave can be counted against the employee’s FMLA entitlement. Employers must select employees for required overtime in a manner that does not discriminate against workers who need to use FMLA leave.Q. Can I use my paid leave as FMLA leave?A. Under the regulations, an employee may choose to substitute accrued paid leave for unpaid FMLA leave if the employee complies with the terms and conditions of the employer’s applicable paid leave policy. The regulations also clarify that substituting paid leave for unpaid FMLA leave means that the two types of leave run concurrently, with the employee receiving pay pursuant to the paid leave policy and receiving protection for the leave under the FMLA. If the employee does not choose to substitute applicable accrued paid leave, the employer may require the employee to do so.Example:Neila needs to take two hours of FMLA leave for a treatment appointment for her serious health condition. Neila would like to substitute paid sick leave for her absence, but her employer’s sick policy only permits employees to take sick leave in full days. Neila may either choose to comply with her employer’s sick leave policy by taking a full day of sick leave for her doctor’s appointment (in which case she will use a full day of FMLA leave), or she may ask her employer to waive the requirement that sick leave be used in full day increments and permit her to use two hours of sick leave for her FMLA absence. Neila can also take unpaid FMLA leave for the two hours.Q. Can I take FMLA leave for reasons related to domestic violence issues?A. FMLA leave may be available to address certain health-related issues resulting from domestic violence. An eligible employee may take FMLA leave because of his or her own serious health condition or to care for a qualifying family member with a serious health condition that resulted from domestic violence. For example, an eligible employee may be able to take FMLA leave if he or she is hospitalized overnight or is receiving certain treatment for post-traumatic stress disorder that resulted from domestic violence.If you want more information contact DOL.GOV

An employer should have a written policy and one who does not runs the risk of not following the FMLA law correctly. This is your most important starting point. Also, who told you this? Was it a supervisor or Human Resources? Keep in mind that many supervisors are not as knowledgeable about FMLA, and you may do better to communicate with Human Resources. If your company doesn’t have a documented policy, then you are likely dealing with an employer that is not on top of how to manage FMLA, and it’s in the employer’s best interest to have a policy in place, but go to Human Resources.If you were approved for FMLA and then the employer claims that you’re no longer on FMLA due to policy change doesn’t sound right, if I understand what you’re saying. Did you receive a form certifying your FMLA? This is a federal form that you should receive back from your employer’s Human Resources department (Federal form or its equivalent). If you don’t have this piece of paper (or its equivalent, given the digital age), then I would wonder whether you were granted FMLA. It’s vital. A H.R. Department should have given you this form to have completed by your physician (if medical)…and then you send it to HR…and get it back… Receiving this form indicates that your FMLA Leave request has been approved for a specific time period. With this document, your employer can’t just decide the policy changed. Link to the Federal Form: https://www.dol.gov/whd/forms/WH-380-E.pdf You should have one of these. It’s a federal, standard form. (I’ve taken a few FMLAs in my time, and have seen more of these then I care to admit).If you don’t, your FMLA is not official (or opens the door to an employer deciding the policy changed…and that the FMLA doesn’t exist suddenly). Your employer should provide the Medical Certification form to complete to you. Using this exact Federal form isn’t required, but following the law, is.The form explains that the employee has at least 15 days to complete it and submit to the employer, and in turn, the employer has to respond in a certain amount of time.If you’re unfamiliar with FMLA works, and the employer or your supervisor isn’t knowledgeable, then you could end up in a grey area…the form is important. Ideally, one takes FMLA with notice and files the form ahead of time. Of course, this isn’t always possible because this is for unpredicted medical needs. In that case, you inform your supervisor that you are requesting and/or need FMLA time, then contact HR and get the FMLA Medical Certification form to them ASAP. This form has to be completed by a medical provider.If the documentation is not the issue….I don’t know the exact details of your situation, but I hope to offer information that will be helpful. An employer can require that you use accrued vacation and sick time towards your FMLA Leave. There isn’t anything you can really do; the employer can require that you you cash out all the time you have available to you. That isn’t a great comfort, I know, because when you return to work, you don’t have time off reserves. However, the key word here is: accrued time. They can’t use time you will earn for that entire year if you’re only six months into that year. This is an important distinction. Employers may also have a specific policy on how paid time off is to be used during an approved FMLA leave.To explain “accrued leave,” employers generally grant you a certain amount of vacation and sick time each year…and make the entire amount available to you on the first of the year (fiscal year or Jan 1). This allows you to take all of your vacation time in January even if “technically” you haven’t earned it yet. However, with FMLA, I found that I could ask my employer to only charge the time off I had already actually earned (I contacted Human Resources to correct this and it was done). Many employers will advance the time to you because FMLA is unpaid, and assume that the cash from the time off is helpful. Policies vary by employer and this situation may or may not apply to you, depending how your employer offers time off benefits (One of my employers offered straight “paid time off” or PTO days without distinction between sick or vacation…and some employers will put employees on temp disability if an absence exceeds five days, so every employer is different).Also important, the employer must have an FMLA policy in place that treats every employee the same. Equally. In other words, how your time off was paid to you must be the same way they treat all employees. Employers can have some leeway on policy, but must apply the same policy to all and be consistent. For example, when counting eligibility, the rule is the employee must have worked 1750 hours or one year to be eligible, but how eligibility is counted may be chosen by the employer, especially when counting the time towards FMLA eligibility, Some employers use January 1st, others use something called “rolling eligibility.” This only becomes an issue if an employee has had FMLA in the recent past and needs to take another leave….that’s when determining eligibility becomes an issue.Rolling eligibility explained:For example, employers can choose to use a rolling 12-month period (rolling forward from the time any leave commences) rather than leaving the selection of the 12-month period to employees, who almost inevitably would choose the 12-month calendar period. The calendar period, unlike the rolling period, allows for employees to stack leave during the last 12 weeks of one year and the first 12 weeks of the new year.You might also work in a state that has its own FMLA rules/regulations. The state and federal run concurrently.Regarding the “change” in policy you have been told about: If the employer’s policy actually changed, this should be documented. Again, I don’t know if your dealing with a large employer, but to be eligible for FMLA, you have to be working for an employer of a certain size (75 or more employers within a certain geographical area). So if the policy changed, or if there is a policy, it should be documented and available. In fact, when you receive an FMLA certification, that may provide some information.“The FMLA requires employers to provide four notices to employees seeking FMLAleave; thus, employers may run afoul of the law by failing to provide these notices,” Flotte remarked. Employers must give a general notice of FMLA rights. They mustprovide an eligibility notice within five days of the leave request.You can ask Human Resources about how your time was charged and why. This might uncover a mistake or misunderstanding that can be corrected.Sources:Top 11 Employer FMLA MistakesU.S. Department of LaborI hope this helps….