What should be included on the medical certification form from the doctor?

For an employee’s own illness:

• The date on which the serious health condition commenced;
• The probable duration of the condition;
• That the employee is unable to perform the functions of his or her position.

For a family member’s illness:

• The date on which the serious health condition commenced;
• The probable duration of the condition;
• An estimate of the amount of time the employee needs to care for the family member;
• Verification that the serious health condition warrants the participation of the employee to provide care during the period of treatment.