§ 11098. Certification Form.


Latest version.
  • For leaves involving serious health conditions, the employer may utilize the following Certification of Health Care Provider form or its equivalent. Employers may also utilize any other certification form, such as the United States Department of Labor Form WH-380, revised December 1994 (Certification of Health Care Provider/Family and Medical Leave Act of 1993), provided that the health care provider does not disclose the underlying diagnosis of the serious health condition involved without the consent of the patient.
HISTORY
1. Change without regulatory effect renumbering former section 7297.11 to new section 11098 and amending section, form and Note filed 10-3-2013 pursuant to section 100, title 1, California Code of Regulations (Register 2013, No. 40).

Note

Note: Authority cited: Section 12935(a), Government Code. Reference: Section 12945.2, Government Code; Family and Medical Leave Act of 1993, 29 U.S.C. § 2601 et seq.; and 29 C.F.R. § 825. Appendix B, Form WH-380, as revised December 1994.