The Minnesota Certification of Health Care Provider (CHIP) under the FMLA of 1993 is a vital document in the state of Minnesota that allows employees to take leave from work for specific medical reasons while being protected under the Family and Medical Leave Act (FMLA). The CHIP serves as proof that an employee or their family member is in need of medical care and meets the eligibility criteria for taking leave under the FMLA. This certification provides employers with sufficient information to validate the medical necessity of the requested leave and enables them to comply with the law. The Minnesota Certification of Health Care Provider covers various types of medical conditions and situations, catering to the diverse needs of employees. These may include, but are not limited to: 1. Serious Health Condition: This type of certification is required when an employee seeks leave due to their own serious health condition, which renders them unable to perform their job duties. It involves a detailed evaluation by a health care provider to determine the seriousness and duration of the medical condition. 2. Family Member's Serious Health Condition: When an employee needs to care for a family member with a serious health condition that requires their presence and assistance, they can request leave by providing a CHIP. This certification verifies the need for the employee's support and ensures their rights under the FMLA. 3. Active Duty Qualifying Exigency: Minnesota also recognizes a CHIP for employees who require leave due to a family member's deployment or impending deployment as a member of the armed forces. This certification establishes the connection between the military service and the need for the employee's presence and involvement. 4. Military Caregiver Leave: In cases where an employee's family member, who is a service member, sustains a serious injury or illness, the employee may be entitled to leave as a military caregiver. The CHIP under this category confirms the need for the employee to provide care and assistance during the service member's recovery. It is essential for employees to provide an accurate and complete Minnesota Certification of Health Care Provider to their employers to ensure smooth processing of their FMLA leave request. This certification should include relevant medical information, recommended treatment plans, expected duration of leave, and any restrictions or accommodations required for the employee's return to work. By following the established procedure and submitting the appropriate CHIP, employees can exercise their rights under the FMLA and receive the necessary time off for medical or caregiving purposes, all while being protected from adverse employment actions.
Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés. For your convenience, the complete English version of this form is attached below the Spanish version.