FMLA Medical Certification (Family Member) with Tip Sheet - ComplyRight

Form Template

The FMLA Medical Certification (Family Member) with Tip Sheet - ComplyRight mobile app was designed for use when an employee requests time off to care for an immediate family member with a serious health condition.

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FMLA Certifications are used to verify an employee’s need for FMLA leave and the existence of an FMLA-qualifying event. This form helps you gather the information you need to either grant or deny FMLA leave, without violating an employee’s privacy rights or overstepping legal boundaries. In each scenario, give your employee the blank certification form within five business days after learning about his or her need for leave, and allow the employee at least 15 days to return it.

Need printed FMLA Forms? Visit G.Neil for a printed version of the FMLA Medical Certification (Employee) Form.

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