Download the Certification Forms
Birth and Bonding Leave:
If you apply for Birth and Bonding Leave, you will need to submit certification for two parts of your leave:
- One for the pregnancy-related medical portion of your leave. <Add Certification Link>
Bonding Leave:
Bonding Leave covers time with a child after birth, adoption, or foster placement. Bonding Leave can be certified with one of the following:
- a birth certificate
- hospital discharge papers (this can often be found in an online patient portal)
- adoption or foster placement paperwork
If you don't have any of these, Bonding Leave can also be certified with a letter or certification form from your healthcare provider.
<Add Certification Link>
Caring Leave
Leave to care for a family member with a serious health condition
<Add Certification Link>
Medical Leave
Leave to care for your own serious health condition, including care related to pregnancy, childbirth, and recovery
<Add Certification Link>
Military Family Leave
Military Family Leave can be certified with paperwork such as active duty orders. There is no certification form for Military Family Leave.
<Add Upload Link>
Safety Leave
Leave to respond to issues related to domestic violence, sexual assault, or stalking for yourself or a family member
<Add Certification Link>