Certification is an optional tool provided by the FMLA for employers to use to request information to support certain FMLA-qualifying reasons for leave.
An employee can provide the required information contained on a certification form in any format, such as on the letterhead of the healthcare provider, or official documentation issued by the military.
Please do not send any completed certification forms to the U. Department of Labor, Wage and Hour Division. Return completed certifications to the employee to provide to his or her employer. The FMLA does not require the use of any specific form or format.
Although the Department revised the FMLA forms in June to make them easier to understand for employers, leave administrators, healthcare providers, and employees seeking leave, the revised forms convey and collect the same information, which can be provided in any format.
You can provide the required information contained on a certification form in any format. If you used the old certification forms to provide your employer with the required FMLA information, you do not have to provide your employer with the same FMLA information using the revised certification forms.
Your employer may use the WHD prototype forms or create their own version of the forms containing the same basic information. However, an employer that requests a medical certification may request only information that relates to the serious health condition for which the current need for leave exists, and no information may be required beyond that specified in the FMLA regulations. See 29 CFR No coding.
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Search for template x. Use Template. Please contact your agency if you have questions about filling these forms or need other forms. You can also use Contact Us to reach your agency for assistance.
To submit the form, providers must click on the 'Provider' Link to the right of the FECA oval located at the top left of the home page, login with their user ID and password, and then click on the 'LMN Documents' link located in the left menu bar. For providers not yet registered, after clicking the 'Provider' link, click the 'Web Registration' link located in the left menu bar to register for web access.
The forms in the list below may be completed manually via the print form option or electronically via the electronic fill option: Printable Forms All of the Federal Employees Program's online forms with the exception of Forms CA, CA and CA are available to print and to manually fill and submit.
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