Try for free

Unum CL-1329-OR Paid Leave Oregon Certification

Oregon employers with a Unum-insured equivalent plan provide Paid Leave Oregon benefits outside the state program, and their employees' serious health conditions are certified on this eight-page packet. The provider of the employee or of a family member answers pages 6 and 7: onset, duration, job relation, effect on work, the condition category and an estimate of continuous, intermittent or reduced-schedule leave.

Who completes it

The employee and employer complete pages 1 to 5 and the top of page 6. The health care provider of the employee or family member answers questions 1 to 7 on pages 6 and 7 and signs with printed name, practice type, phone and fax.

Submitting and payment

How to submit it
The completed packet is faxed or mailed to Unum's Benefits Center, as printed on each page. The employee's complete application is due within 90 calendar days from the start of leave.

Good to know

  • A reduced schedule under Paid Leave Oregon must be taken in full-day increments, so question 7 asks only how many days per week the employee can work.
  • The category list in question 6 includes Organ and Tissue Donation, covering preoperative or diagnostic services, surgery, postoperative treatment and recovery.
  • Incapacity here means being unable to perform at least one essential job function, attend school or perform daily activities for more than three consecutive calendar days.
  • A bilingual English and Spanish edition, CL-1329-OR-BL, is listed alongside the English form. Unum pairs the packet with its CL-1088-PFL authorization. The edition is dated 05/26.

Get the official form

Download the current version from the source each time; forms change without notice.

Paid Leave Oregon Certification of Health Care Provider

Official pagePDFVersión en español

How this list is checked

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.

Vero is not affiliated with, or endorsed by, the agencies and insurers listed here. Read our editorial policy.

Frequently asked questions

When does an Oregon provider receive Unum's CL-1329-OR?

When the patient's employer has an approved equivalent plan for Paid Leave Oregon insured by Unum. The claim is then administered by Unum, so the provider certifies the serious health condition on Unum's pages rather than on a state form.

Is Unum's Oregon certification available in Spanish?

Unum lists a bilingual English and Spanish edition, form number CL-1329-OR-BL, alongside the English CL-1329-OR. The form also notes that if the certification is not completed in English, the employee may be asked to furnish a translation.

How long does the employee have to file a CL-1329-OR claim?

The employee instructions say the complete application must be submitted within 90 calendar days from the start of leave. A missing or insufficient certification may lead to denial or closure of the request, so the provider pages should be returned promptly.