Section 3041.77. Verification of maternity and family leave  


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  • Acceptable verification of family leave includes one of the following:

    (1) A birth certificate.

    (2) The Department’s medical assessment form.

    (3) A written statement or other documentation completed by a licensed physician that describes the inability to work or participate in education or training and includes a date of anticipated return to work.

    (4) A written statement from the employer or an education or training representative.

    (5) A collateral contact, as specified in § 3041.62 (relating to collateral contact).

    (6) A written self-declaration by the parent or caretaker, as specified in § 3041.64 (relating to self-declaration).