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FMLA Application for FMLA and Medical Release - Washoe County 2025

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The document is an application form for the Family and Medical Leave Act (FMLA) specific to Washoe County. It allows employees to request leave for various reasons, including the birth or adoption of a child, serious health conditions, or military-related exigencies. The form requires personal information, details about the leave requested, and authorization for the release of health information if applicable. It also includes sections for supervisor and department head acknowledgment.

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2020	4.9 Satisfied (41 Votes)
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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Can a doctor refuse to fill out paperwork?

The short answer is yes; a doctor can refuse to fill out disability forms. No law requires doctors to complete disability paperwork on behalf of their patients. However, many doctors will agree to help if you approach the situation professionally and respectfully.

What do I say to get approved for FMLA?

You do not have to tell your employer your diagnosis, but you do need to provide information indicating that your leave is due to an FMLA-protected condition (for example, stating that you have been to the doctor and have been given antibiotics and told to stay home for four days).

What are the two types of FMLA?

Within FMLA, there are three types of leave that a qualified employee may take: Continuous, intermittent and reduced schedule.

Is it legal for a doctor to charge to fill out FMLA paperwork?

Yes. Doctors can and usually do charge a fee to complete Family and Medical Leave Act (FMLA) certifications. Under federal law, employers are not required to pay for fees charged for FMLA certification (other than for a second or third opinion), so the employee must take on that responsibility.

Why are doctors hesitant to fill out FMLA paperwork?

Because of doctors workloads and the inability in many situations to render a precise prognosis about the frequency and duration of a condition, it can be a challenge when they have to complete patients FMLA request forms.

Who can legally fill out FMLA paperwork?

Who Can Fill Out an FMLA Form? The forms for FMLA leave vary ing to whether the employee needs the leave for themselves or to care for family members. The forms must be filled out in the appropriate sections by the employer, employee, and healthcare provider.

Can my doctor refuse to fill out FMLA paperwork?

Doctors have no legal obligation to complete FMLA certifications, although most doctors will do so for a fee. Prior to making an appointment, contact your doctors office and ask about its policy regarding FMLA forms and any associated fees.

How do I get my FMLA paperwork approved?

5 Tips for Requesting FMLA Leave Notify your employer as soon as you know you need time off. Complete a medical certification within 15 days of providing notice. Allow time for your doctors office to complete the paperwork. Contact your employer if your FMLA needs change while you are on leave.

FMLA Application for FMLA and Medical Release - Washoe County 2025

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