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12.15.15 – (LAA/LUS) – Sick Verification Form/FMLA/Maternity Leave

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Tuesday, December 15, 2015

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  • Sick Verification Form – LAA/LUS
  • Maternity Leave – LAA/LUS

Sick Verification Form – LAA/LUS

As a reminder, when you receive the Sick Verification Form and take it to your doctor to complete, be sure to let the doctor know that no medical information needs to be put on the form. You do not have to grant permission for the Company to contact your Primary Care Physician (PCP). The only information that needs to be filled out are the dates of treatment, the anticipated return to work date, and the re-evaluation date. If your doctor completes any medical information on the form, the Company could auto-designate your absence to Family Medical Leave (FMLA).  


If you file for Short-Term Disability with MetLife and the claim is approved, the Company will use this information and will auto-designate your leave to FMLA. The Company does not get any medical information, but a file is sent over that contains the list of employees receiving OSTD and that is what they use to auto-designate the FMLA.

Be sure that when you fill out your FMLA form that you complete Section A, and that when your Doctor is completing the form that he/she checks “Yes” or “No” to questions 7-14. Also, confirm that the appropriate question is answered for Regular/Block Leave or Intermittent Leave. 

Maternity Leave – LAA/LUS

Congratulations on your pregnancy! Please call the APFA Health Department so that we can assist and guide you through some important information. It is important to remember that you do not provide any medical documentation regarding your pregnancy to the Company. You can let your Supervisor and maternity coordinator know so that they can re-code your absences prior to going out on your leave to have your baby. Do not file for FMLA before you are removed by your doctor. You do not have to file the FMLA to have your absences protected. If you are contacted about filing Family Leave, other than the notification letter regarding the 17-day timeline, please contact us and provide the name of the person who contacted you. You will want to save your FMLA for later in your pregnancy or for the birth and bonding.

Catherine Sharp
APFA National Health Chair

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