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Admin order 44-11-05
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Admin order 44-11-05
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Last modified
3/23/2012 11:53:40 AM
Creation date
8/2/2011 11:23:27 AM
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City Recorder
CMO_Document_Type
Admin Orders
Document_Date
8/1/2011
Document_Number
44-11-05
CMO_Effective_Date
8/1/2011
Author
CRO
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Because FMLA and OFLA are not optional, the City can designate leave as FMLA and OFLA without your <br />agreement. <br />Approval for AFSCME- Represented Domestic Partner Medical Leave (DPML) is determined by the department <br />per the AFSCME contract. The leave is tracked by the department, and Risk Services does not send out a <br />notice for DPML. <br />WHAT HAPPENS AFTER 1 REQUEST FMLA OR OFLA LEAVE? <br />Notice of eligibility <br />After you make a request for FMLA or OFLA leave, the City will generally let you know within five business days if <br />you are eligible for the leave entitlement or if the City needs more information to make this determination, such <br />as with a medical certification. <br />Medical Certification <br />If you are required to provide a Medical Certification, your supervisor will give you a Medical Certification Form <br />to take to your medical provider. The City uses the information provided to determine if your reason for leave <br />qualifies under FMLA or OFLA. The Medical Certification must be returned within 15 days or your leave can be <br />denied. Denied leave means you do not have job protection under FMLA and OFLA. If it is determined the <br />information in the Medical Certification does not validate the necessity for Family & Medical Leave your time <br />off will not be designated as FMLA /OFLA and therefore will not be protected under the leave laws. <br />The City does not require that you make an appointment in order to get the Medical Certification Form <br />completed by your medical provider. In most cases you will be able to provide it to your medical provider <br />during an appointment you already have scheduled, or your medical provider may allow you to fax the form in <br />to them or drop it off at the front desk. Please contact your medical provider's office for their specific policies <br />and procedures. However, if you are required to see your medical provider solely for the purpose of providing <br />them with the Medical Certification Form or having them fill it out, the City will reimburse you for any out -of- <br />pocket costs that are not covered by your insurance. Reimbursement requests must be submitted to Risk <br />Services within six months from the date of service, and must include proof of your out -of- pocket costs along <br />with a note requesting to be reimbursed for expenses associated with obtaining a Medical Certification <br />The City has the right to solicit a second and third opinion if necessary to verify the information provided on a <br />Medical Certification. The third opinion is final and binding. <br />You may also later be asked to provide Medical Re- certification under certain circumstances not more often <br />than every 30 days and only in connection with an absence by the employee, unless the employee requests <br />an extension of leave, circumstances described by the previous Certification have changed significantly (e.g., <br />the duration or,frequency of the absence, the nature or severity of the illness, complications), or the employer <br />receives information that casts doubt upon the employee's stated reason for the absence or the continuing <br />validity of the Certification.. <br />The following are links to the Medical Certification Memo and Medical Certification Form. The Medical <br />Certification Memo MUST ALWAYS accompany the Medical Certification Form. Once the Memo is signed by <br />both parties the original needs to be forwarded to Risk Services where it will be filed in the employee's medical <br />file. <br />- Medical Certification Memo <br />- Medical Certification Form for Employees and Family Members <br />Final determination <br />The City will send out a Family and Medical Leave Notice to you once it has been determined whether your <br />absence qualifies as FMLA or OFLA leave. The Notice will contain detailed information such as how much FMLA <br />and OFLA leave time you have coded in the 12 months immediately preceding your leave, requirements to use <br />your paid leave, information about insurance, and your reinstatement rights. <br />Family and Medical Leave Guide Page 6 of 8 <br />
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