The Bronx, New York Certification of Health Care Provider under the FMLA of 1993 is an important document required for employees in the Bronx who seek leave under the Family and Medical Leave Act (FMLA) of 1993. This certification is used to validate the need for leave due to the employee's own serious health condition, their family member's serious health condition, or for military caregiver leave. To apply for FMLA leave in the Bronx, employees are required to submit a Certification of Health Care Provider form, which should be completed by a qualified health care provider. This form contains essential information about the employee's medical condition or the condition of their family member, the start and duration of the condition, and the anticipated frequency and duration of the leave needed. In the Bronx, there are different types of Certification of Health Care Provider forms under the FMLA, depending on the specific situation: 1. Certification of Health Care Provider for Employee's Own Serious Health Condition — This form is used when an employee needs leave due to their own serious health condition. It requires the health care provider to provide a detailed medical assessment of the employee's condition, including its nature, severity, medical examinations or treatments, and the estimated time for recovery. 2. Certification of Health Care Provider for Family Member's Serious Health Condition — This form is used wheemployeesds to leaveve to care for a family member with a serious health condition. The health care provider must provide information about the family member's condition and certify that the employee's presence is necessary to provide care. 3. Certification of Health Care Provider for Military Caregiver Leave — This form is used when an employee seeks leave to care for a covered service member with a serious injury or illness. It requires the health care provider to provide specific details about the service member's condition and the needed care. The Certification of Health Care Provider form must be completed accurately and in detail by a health care provider who is licensed to diagnose and treat the relevant medical condition. It is crucial for employees in the Bronx to ensure that they provide the completed form to their employer within the specified timeframes and adhere to the regulations of the FMLA. By complying with the rules and submitting a valid, properly completed Certification of Health Care Provider form, employees in the Bronx can avail themselves of the protected leave offered by the FMLA of 1993. This leave allows them the necessary time off to address their own health conditions or to care for their loved ones without fear of job loss or 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.