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.