Washington Administrative Code
Title 192 - Employment Security Department
PAID FAMILY AND MEDICAL LEAVE
Chapter 192-610 - Initial application for benefits
Section 192-610-020 - What is required on the certification for medical leave or for family leave to care for a family member who has a serious health condition?
Universal Citation: WA Admin Code 192-610-020
Current through Register Vol. 24-18, September 15, 2024
When leave is taken because of an employee's own serious health condition or the serious health condition of a family member, certification from a health care provider will be required. Certification must include the following:
(1) The name, address, telephone number, and contact information of the health care provider and type of medicine the health provider is licensed to practice;
(2) The anticipated duration of leave;
(3) Other information as requested by the department to determine eligibility for the qualifying event; and either
(a) For medical leave, information
from a health care provider that the employee has a serious health condition;
or
(b) For family leave,
information sufficient to establish that the family member has a serious health
condition requiring physical or psychological care.
Disclaimer: These regulations may not be the most recent version. Washington may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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