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The employer may request supporting certification to determine FMLA coverage and must specify in writing what additional information is required if certification is incomplete. 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In order to determine whether leave is covered under the FMLA, the employer may request that the leave be supported by a certification. If the certification is incomplete or insufficient, the employer must state in writing what additional information is necessary to make the certification complete and sufficient.   \nTo:   Date:    \nWe have reviewed your request for leave under the FMLA and any supporting documentation that you have provided. We received your most recent information on   and decided:  \n***APPROVED***  \n  Your FMLA leave request is approved. All leave taken for this reason will be designated as FMLA leave.  \nThe FMLA requires that you notify us as soon as practicable if dates of scheduled leave change or are extended, or were initially unknown. Based on the information you have provided to date, we are providing the following information about the amount of time that will be counted against your leave entitlement:  \n  Provided there is no deviation from your anticipated leave schedule, the following  \nnumber of hours, days, or weeks will be counted against your leave-entitlement:  \n.  \n  Because the leave you will need will be unscheduled, it is not possible to provide the hours, days, or weeks that will be counted against your FMLA entitlement at this time. You have the right to request this information once in a 30-day period (if leave was taken in the 30-day period) .  \nPlease be advised (check if applicable):  \n  You have requested to use paid leave during your FMLA leave. Any paid leave taken for this reason will count against your FMLA leave entitlement.  \n X  We are requiring you to substitute or use paid leave during your FMLA leave.  \n  You will be required to present a fitness-for-duty certificate to be restored to employment. If such certification is not timely received, your return to work may be delayed until certification is provided. A list of the essential functions of your position   is   isnot attached. If attached, the fitness-for-duty certification must address your ability to perform these functions.  \n***ADDITIONAL INFORMATION NEEDED***  \n  Additional information is needed to determine if your FMLA leave request can be approved:  \n  The certification you have provided is not complete and sufficient to determine whether the FMLA applies to your leave request. You must provide the following information to make certification complete and sufficient no later than   (provide at least seven calendar days), unless it is not practicable under the particular circumstances despite your diligent good faith efforts, or your leave may be denied:    \n________________________________________________________________________  \n  We are exercising our right to have you obtain a second or third opinion medical  \ncertification at our expense, and we will provide further details at a later time.  \n***NOT APPROVED***  \n  Your FMLA Leave request is Not Approved for the reason that   the FMLA does not apply to your leave request and/or   you have exhausted your FMLA leave entitlement in the applicable 12-month period.","cbCainTmJsdr2jJO","https://ap.wps.com/l/cbCainTmJsdr2jJO","pdf",91449,"English","# FMLA Designation and Decision Notice\n## Approval notice and counted leave information\n## Additional information needed and certification requirements\n## Not approved reasons","[{\"question\":\"How does an employer determine whether leave is covered under the FMLA?\",\"answer\":\"The employer may request certification supported by appropriate documentation. If the certification is incomplete or insufficient, the employer must state in writing what additional information is needed to make it complete and sufficient.\"},{\"question\":\"What happens if an employee’s FMLA request is approved?\",\"answer\":\"The notice states that the request is approved and designates all leave taken for the stated reason as FMLA leave. It also explains how the amount of time will be counted against the employee’s FMLA leave entitlement, based on the anticipated schedule.\"},{\"question\":\"What reasons can lead to an FMLA leave request being not approved?\",\"answer\":\"The notice can indicate that the FMLA does not apply to the leave request and/or that the employee has exhausted the FMLA leave entitlement during the applicable 12-month period.\"}]","FMLA Policy - Forms - 3 - Designation Notice | PDF",1789500248]