FMLA Certification

New and Updated

• Type:

  Letters and Forms

  Connecticut Family and Medical Leave Act Medical Certification for Employee's Serious Health Condition

  As recommended by the Connecticut Department of Labor, covered employers may require employees requesting leave due to their own serious health condition under the Connecticut Family and Medical Leave Act (CTFMLA) to submit medical certification supporting the need for leave, and may use this optional form for that purpose.

• Type:

  Letters and Forms

  Connecticut Family and Medical Leave Act Medical Certification for Family Member's Serious Health Condition

  As recommended by the Connecticut Department of Labor, covered employers may require employees requesting leave to care for a family member with a serious health condition under the Connecticut Family and Medical Leave Act (CTFMLA) to submit medical certification supporting the need for leave, and may use this optional form for that purpose.

• Type:

  Letters and Forms

  Connecticut Family and Medical Leave Act Family Member Verification Form

  As recommended by the Connecticut Department of Labor, covered employers may require employees requesting leave to care for a family member under the Connecticut Family and Medical Leave Act (CTFMLA) to provide a signed statement verifying the relationship, and may use this optional form for that purpose.

• Type:

  Letters and Forms

  Connecticut Family and Medical Leave Act Medical Certification for Servicemember's Serious Injury or Illness

  As recommended by the Connecticut Department of Labor, covered employers may require employees requesting leave to care for a covered servicemember under the Connecticut Family and Medical Leave Act (CTFMLA) to submit medical certification supporting the need for leave, and may use this optional form for that purpose.

• Type:

  Employment Law Guide

  FMLA: Nevada

  Updated to reflect the kin care leave law, effective October 1, 2021.

• Type:

  Employment Law Guide

  FMLA: Kentucky

  Updated to reflect amendments to adoption leave protections, effective June 29, 2021.

• Type:

  Letters and Forms

  California Family Member Medical Certification Form

  This form may be used by a California employer if it requires an employee to provide a medical certification supporting a leave request to care for a family member with a serious health condition.

• Type:

  Letters and Forms

  California Employee Medical Certification Form

  This form may be used by a California employer if it requires an employee to provide a medical certification supporting a leave request for the employee's own medical condition.

• Type:

  Employment Law Guide

  FMLA: South Carolina

  Updated to reflect information on a state supreme court ruling regarding common law marriages.

• Type:

  Letters and Forms

  California Family Rights Act (CFRA) Certification of Health Care Provider Form

  As recommended by the California Civil Rights Department, an employer covered under the California Family Rights Act (CFRA) may require use of the CFRA Certification of Health Care Provider Form.