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Page 33 <br /> <br />G. Medical Certification <br />Certification by a physician or practitioner is required for FMLA leave due to an employee’s <br />serious health condition or that of a family member’s. The medical certification form must <br />include the following information: (1) date that the qualifying event started; (2) duration of the <br />qualifying event; (3) appropriate medical facts; and (4) purpose the leave is needed. <br />Administration may request additional medical information that provides an updated status of <br />the employee’s or family member’s serious health condition and date of return. A second <br />opinion from another health care provider may be requested by the City. If requested, the City <br />will pay for the cost of a second opinion and will select a health care provider not regularly <br />associated with the City. A "Certificate of Physician or Practitioner" form can be obtained from <br />Human Resources. <br />H. Health Care Providers <br />“Health care providers” are defined as doctors of medicine or osteopathy, podiatrists, dentists, <br />clinical psychologists, optometrists, chiropractors, nurse practitioners, nurse-midwives, clinical <br />social workers (within certain limitations), Christian Science practitioners, health care providers <br />recognized by the City’s group health plan, and health care providers as defined above who <br />practices and is licensed in a country other than the United States. [Refer to 29 C.F.R. 825.118 <br />for a complete list.] <br />I. Recertification <br />Recertification will be required if the employee requests an extension of the original length <br />approved by the City or if the employee's circumstances change. Recertification may also be <br />required if there is a question as to the validity of the certification if the employee is unable to <br />return to work due to the serious health condition. <br />J. Fitness for Duty Certification <br />When leave is due to an employee’s own serious health condition, a fitness for duty <br />certification (FFD) may be required before an employee can return to work. Failure to timely <br />provide such certification may eliminate or delay an employee’s right to reinstatement under <br />the FMLA. <br />K. Record Retention <br />Records on FMLA leave will be kept along with normal payroll records except that any medical <br />record will be maintained separately in the employee's medical record file. <br />L. Affect on Pension <br />FMLA leave counts as continued service for purposes of retirement or pension plans. <br />M. Reinstatement <br />Employees returning from FMLA leave will return to their same position or an equivalent <br />position upon return from FMLA leave (employees returning from FMLA leave due to a child <br />with a serious health condition will be returned to the same position). <br />Page 94 of 166