Delaware Paid Leave medical and family caregiver claims cannot be decided until the health care provider completes this online Certification of Serious Health Condition in Delaware LaborFirst. It asks just three questions: whether the condition meets the FMLA definition of a serious health condition, how many weeks the employee should take off, and whether reduced-schedule or intermittent leave applies.
The health care provider of the claimant, or of the family member the claimant will care for, completes it; staff can complete it on the provider's behalf using the claimant's access code.
Download the current version from the source each time; forms change without notice.
Certification of Serious Health Condition (CSHC)
This form is completed online with Delaware Department of Labor, Division of Paid Leave, so there is no PDF to fill. Vero Scribe writes the visit note it draws on, so the details are ready when you complete it.
A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms and their requirements change without notice, so check the official page for the current version before you complete one.
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The certification must be completed within 30 calendar days from the date the claim was submitted. If it is not completed, the claim cannot move forward into adjudication. The claimant is responsible for giving the provider the LaborFirst link and access code and may ask for status updates.
Three questions: whether the illness or injury meets the FMLA definition of a serious health condition, how many weeks the employee should take off, and whether the leave qualifies as reduced-schedule or intermittent. Providers are never asked for a diagnosis or supporting materials such as EKGs or X-rays.