Form DOP-L6 Supplemental Certification of Health Care Provider for Family Member's Serious Health Condition - Federal Family and Medical Leave Act (Fmla) and / or State Parental Leave Act (Pla) - West Virginia

Form DOP-L6 Supplemental Certification of Health Care Provider for Family Member's Serious Health Condition - Federal Family and Medical Leave Act (Fmla) and / or State Parental Leave Act (Pla) - West Virginia

What Is Form DOP-L6?

This is a legal form that was released by the West Virginia Division of Personnel - a government authority operating within West Virginia. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form DOP-L6?A: Form DOP-L6 is a Supplemental Certification of Health Care Provider for Family Member's Serious Health Condition.

Q: What is the purpose of Form DOP-L6?A: The purpose of Form DOP-L6 is to provide certification of a family member's serious health condition for the purpose of availing leave under the Federal Family and Medical Leave Act (FMLA) and/or State Parental Leave Act (PLA) in West Virginia.

Q: Who should fill out Form DOP-L6?A: Form DOP-L6 should be completed by a healthcare provider who is treating the family member with a serious health condition.

Q: What information is required on Form DOP-L6?A: Form DOP-L6 requires information such as the patient's name, nature of the serious health condition, expected duration of the condition, and the healthcare provider's certification.

Q: Is Form DOP-L6 specific to West Virginia?A: Yes, Form DOP-L6 is specific to West Virginia as it is used for certification under the State Parental Leave Act (PLA) in addition to the Federal Family and Medical Leave Act (FMLA).

Q: Can Form DOP-L6 be used for FMLA certification in other states?A: No, Form DOP-L6 is specific to West Virginia and may not be accepted for FMLA certification in other states. Each state may have its own specific form for FMLA certification.

Q: Who is eligible for leave under FMLA and PLA?A: Eligibility for leave under FMLA and PLA is determined by the specific requirements and provisions of the respective acts. It is recommended to consult the FMLA and PLA guidelines or speak to your employer's human resources department for detailed eligibility criteria.

Q: Does submitting Form DOP-L6 guarantee approval of FMLA or PLA leave?A: Submitting Form DOP-L6 is a part of the process for requesting FMLA or PLA leave, but final approval is subject to the employer's policies and the eligibility criteria of FMLA and PLA.

Q: Can an employee use FMLA or PLA leave to care for a family member with a serious health condition?A: Yes, both FMLA and PLA allow eligible employees to take leave to care for a family member with a serious health condition.

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Form Details:

  • Released on July 22, 2011;
  • The latest edition provided by the West Virginia Division of Personnel;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DOP-L6 by clicking the link below or browse more documents and templates provided by the West Virginia Division of Personnel.

Download Form DOP-L6 Supplemental Certification of Health Care Provider for Family Member's Serious Health Condition - Federal Family and Medical Leave Act (Fmla) and / or State Parental Leave Act (Pla) - West Virginia

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  • Form DOP-L6 Supplemental Certification of Health Care Provider for Family Member's Serious Health Condition - Federal Family and Medical Leave Act (Fmla) and/or State Parental Leave Act (Pla) - West Virginia

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  • Form DOP-L6 Supplemental Certification of Health Care Provider for Family Members Serious Health Condition - Federal Family and Medical Leave Act (Fmla) and / or State Parental Leave Act (Pla) - West Virginia, Page 1
  • Form DOP-L6 Supplemental Certification of Health Care Provider for Family Members Serious Health Condition - Federal Family and Medical Leave Act (Fmla) and / or State Parental Leave Act (Pla) - West Virginia, Page 2
  • Form DOP-L6 Supplemental Certification of Health Care Provider for Family Members Serious Health Condition - Federal Family and Medical Leave Act (Fmla) and / or State Parental Leave Act (Pla) - West Virginia, Page 3
  • Form DOP-L6 Supplemental Certification of Health Care Provider for Family Members Serious Health Condition - Federal Family and Medical Leave Act (Fmla) and / or State Parental Leave Act (Pla) - West Virginia, Page 4
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