Certification of Serious Injury or Illness of Current Servicemember for Military Family Leave (Family and Medical Leave Act) - Delaware

Certification of Serious Injury or Illness of Current Servicemember for Military Family Leave (Family and Medical Leave Act) - Delaware

Certification of Serious Injury or Illness of Current Servicemember for Military Family Leave (Family and Medical Leave Act) is a legal document that was released by the Delaware Department of Human Resources - a government authority operating within Delaware.

FAQ

Q: What is the Certification of Serious Injury or Illness of Current Servicemember for Military Family Leave?
A: It is a form that verifies a serious injury or illness of a current servicemember for the purpose of taking Military Family Leave under the Family and Medical Leave Act (FMLA).

Q: Who is eligible to request this certification?
A: Employees who need to take Military Family Leave to care for a current servicemember with a serious injury or illness.

Q: What is considered a serious injury or illness for Military Family Leave?
A: A serious injury or illness is one that was incurred or aggravated while the servicemember was on active duty and that renders the servicemember medically unfit to perform his or her military duties.

Q: What information is required on the form?
A: The form requires information about the servicemember, the nature of the injury or illness, and the anticipated duration of the leave.

Q: Can my employer request additional information or second opinions?
A: Yes, your employer may request additional information or a second opinion to verify the serious injury or illness.

Q: Is the Certification of Serious Injury or Illness form confidential?
A: Yes, the information provided on the form is confidential and should be kept separate from other personnel records.

Q: Are there any penalties for providing false information on the form?
A: Yes, providing false information may result in disciplinary action or legal penalties.

Q: How long can I take off for Military Family Leave?
A: Under the FMLA, eligible employees can take up to 26 weeks of leave in a single 12-month period to care for a current servicemember with a serious injury or illness.

Q: Do I need to give advance notice to my employer before taking Military Family Leave?
A: Yes, you should provide your employer with as much notice as possible, unless it is not practical or possible under the circumstances.

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Form Details:

  • Released on November 20, 2019;
  • The latest edition currently provided by the Delaware Department of Human Resources;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Delaware Department of Human Resources.

Download Certification of Serious Injury or Illness of Current Servicemember for Military Family Leave (Family and Medical Leave Act) - Delaware

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