District of Columbia FMLA Certification of Physician

State:
Multi-State
Control #:
US-AHI-202
Format:
Word; 
Rich Text
Instant download

Description

This AHI form is used by employers who have an employee that has requested medical leave. This form is filled out by the physician of the person that is being treated.
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FAQ

But instead of a gradual climb, now those changes will come all at once: Starting this year, eligible workers will be provided with 12 weeks of paid parental, family and medical leave with a cap of 12 weeks in a year, according to a letter from then-acting chief financial officer Fitzroy Lee.

DC workers can now apply for paid family leave. The Paid Leave Act provides up to: 2 weeks to care for your pregnancy. 8 weeks to bond with a new child.

FMLA leave is unpaid leave. However, workers may choose to, or employers may require them to, substitute accrued paid sick, vacation, or personal time for FMLA leave. Substitute means that the paid leave provided by the employer will run concurrently with the unpaid FMLA leave.

We encourage you to use our benefits application portal to file a claim. If you are unable to apply online, please call our contact center at (202) 899-3700. Click to download our PFL Employee Handbook for additional information about qualifying events and the program.

The District of Columbia Family and Medical Leave Act (DCFMLA) requires employers with 20 or more employees to provide eligible employees with 16 weeks of unpaid family leave and 16 weeks of unpaid medical leave during a 24 month period.

We encourage you to use our benefits application portal to file a claim. If you are unable to apply online, please call our contact center at (202) 899-3700. Click to download our PFL Employee Handbook for additional information about qualifying events and the program.

You are eligible for Paid Family Leave benefits if you: Spend more than 50% of your time working in DC. Eligible workers must spend a majority of their time working the Districtincluding teleworking or telecommutingfor a covered employer, and must have completed that work during the year prior to needing leave.

An employee is eligible under the Act if she or he has been employed by the employer for at least one year without a break in service, and worked at least 1,000 hours during the 12 month period immediately preceding the requested leave.

In D.C., employers with 20 or more employees must allow eligible employees to take up to 16 weeks of unpaid family leave plus 16 weeks of unpaid medical leave in any 24-month period. Medical leave is for the employee's own serious health condition.

Doctors aren't the only health care providers who may certify FMLA leave. Podiatrists, dentists, clinical psychologists, optometrists and chiropractors can all certify leave, as can nurse practitioners, nurse-midwives, clinical social workers and physician assistants.

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District of Columbia FMLA Certification of Physician