Return to Work Certification (Unit): Fill out & sign online

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Click ‘Get Form’ to open the Return to Work Certification in the editor.
In Section 1, enter your Employee Name, Employee ID, Current Mailing Address, Home Phone, Immediate Supervisor, College/Department, Campus Phone, and Supervisor Phone. Ensure all information is accurate and up-to-date.
Attach your current job description as instructed. This document can be obtained from your immediate supervisor.
Submit the completed Section 1 to your health care provider for their input.
Once your health care provider completes Sections 2 and 3, they will return the form to you. Review their notes on your ability to perform job functions and any restrictions listed.
Finally, submit the fully completed certification form to the appropriate administrator at your workplace.

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How many days to return FMLA certification?

The employee must provide the requested certification to the employer within 15 calendar days after the employers request, unless it is not practicable under the particular circumstances to do so despite the employees diligent, good faith efforts or unless the employer provides more than 15 calendar days to do so.

Can a physical therapist fill out FMLA paperwork?

FMLA is supposed to be filled out by the treating physician, when you file they send you a copy and the doctors office a copy.

Do I need a certificate to return to work?

If you are off work sick for seven days or less, your employer should not ask you for a doctors certificate. You will need a medical certificate if you are off work sick for than seven days. The seven days include days that you dont normally work.

What certification do I need for FMLA?

Certification forms. The FMLA does not require the use of any specific certification form. The Department has developed optional forms that can be used for leave for an employees own serious health condition (WH-380-E) or to care for a family members serious health condition (WH-380-F).