What FMLA documents might I need for my leave?

Quick answer FMLA leave involves several possible documents: a Combined Notice of Eligibility and Rights & Responsibilities, an FMLA Designation Notice, and — if needed — a medical certification for your own or a family member's health condition.

Who this applies to / Prerequisites

• Employees requesting or being considered for FMLA leave.

Key facts

1. FMLA Combined Notice of Eligibility and Rights & Responsibilities: A notice from your employer confirming whether you're eligible for FMLA (or explaining why not), and outlining your rights and responsibilities during leave. If you're not eligible, Tilt will review other potential benefits that may apply.
2. FMLA Designation Notice: A notice from your employer confirming whether your FMLA leave was approved or denied. If approved, it states how much time is being used and the approved dates/duration; if denied, it states the reason. This becomes available once any required medical certification is uploaded and approved.
3. FMLA Medical Certification (own or family member's health condition): If required, this must be completed and signed by the relevant healthcare provider (yours, or your family member's) and include leave dates and the need for leave.

What if it doesn't work

• I haven't received my eligibility notice or designation notice: Contact your Leave Success Manager to check status.
• My certification is missing required information: Have the healthcare provider add the missing details.
• I was found ineligible for FMLA: Tilt will review other potential benefits that may apply.
• If none of these apply, contact your Leave Success Manager.

Limits and exceptions

• Any required medical certification must be signed by a healthcare provider to be valid.

Related questions

• What is a Non-FMLA medical certification?
• What documentation might I need to support my leave of absence?