Free Special Resources
Get Your FREE Special Report. Download Any One Of These FREE Special Resources, Instantly!
Featured Special Report
Claim Your Free Cost Per Hire Calculator
This handy calculator lets you plug in your expenses for recruiting, benefits, salaries, and more.

Graphs automatically generate to show you your annual cost per hire and a breakdown of where you are spending the most money.

Download Now!
February 12, 2010
Understanding FMLA Medical Certification Forms

In a 2010 BLR webinar, “Solving PTO Problems: How to Reduce Unscheduled Absences Without Alienating Employees or Violating the Law,” attorney Catherine Moreton Gray listed the items addressed on the Family and Medical Leave Act Medical Certification Form used in connection with a paid time off program.

For a Limited Time receive a FREE Compensation Market Analysis Report! Find out how much you should be paying to attract and retain the best applicants and employees, with customized information for your industry, location, and job. Get Your Report Now!

Gray said the content of FMLA certification forms is limited to the condition at issue. The forms include the following items:

  • Health care provider’s information and type of practice
  • Approximate beginning date of the condition
  • Probable duration
  • Medical facts sufficient to support the need for leave
  • Sufficient information on the employee’s inability to perform job duties

And, if intermittent or reduced-schedule leave is required for planned treatment or unforeseeable episodes of incapacity, the form states the medical necessity and gives estimated dates and duration of treatment/recovery/incapacity periods.

Catherine Moreton Gray is an associate attorney in the Labor and Employment section of Robinson & Cole LLP in Hartford, Conn. She has more than 20 years of experience in human resources and employment law. Contact her at

Featured Free Resource:
Cost Per Hire Calculator
Twitter  Facebook  Linked In
Follow Us
Copyright © 2018 Business & Legal Resources. All rights reserved. 800-727-5257
This document was published on
Document URL: