Washington Paid Family and Medical Leave applicants use the Family Leave Certification to take paid leave caring for a family member with a serious health condition. The family member's provider briefly describes the condition and gives start and end dates for the leave needed. The applicant uploads it to their Paid Leave account so ESD can decide the family leave claim.
The applicant completes Section 1 with name, date of birth and Paid Leave Customer ID; the family member's authorized health care provider completes Section 2 and signs.
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ESD asks providers to return the completed form to the patient or family member within 7 calendar days after receiving it. The applicant then uploads it to their Paid Leave account or faxes it to ESD.
ESD's provider guidance says that when a serious health condition is expected to last more than a year, the provider enters a date one year in the future as the end date. Terms like 'unknown' or 'indeterminate' are not sufficient.
No. ESD notes that patients and family members do not have to use all their leave at once. The provider certifies the start and end dates of the need for leave, and ESD says the amount of time off is based on medical need.