Leave Documentation

Required documentation for Paid Family and Medical Leave Insurance (PFMLI) can vary depending on the type of leave you're taking. Find out what documentation you will need here.

 

Father and adult daughter sharing memories

PFMLI Documentation by Leave Type

Medical Leave

  • Health Care Provider Certification. View form

Family Leave

  • Family member’s serious health condition
    • You will need to provide a Health Care Provider Certification. View form

Parental (Bonding) Leave

New parents filing a Parental (Bonding) Leave claim do not need their claim verified by a health care provider. Instead, they will need to upload proof of birth or placement, which must include the child’s birth date or placement date. Examples may include, but are not limited to:

  • A birth certificate or verification of birth worksheet
  • Birth or recovery care documentation from a health care provider or medical facility (make sure your proof of birth documentation includes your child's date of birth)
  • Adoption or foster care placement paperwork

Expecting parents can start their Parental (Bonding) Leave application up to 30 days in advance of their expected leave start date. However, the proof of birth documentation is required to fully submit the claim. Your claim will be saved as a draft until that documentation is submitted. Applications submitted more than 30 days prior to the start of leave will be denied, and the claimant will be instructed to reapply for benefits within the required time period.

New parents are eligible to take PFMLI leave to bond with a new child anytime within the first 12 months after a birth, adoption or foster care placement. So parents who welcomed a new child in 2023 may have some time of eligibility in 2024, even if they used some employer-provided leave or unpaid FMLA leave in 2023 when the child first arrived. If you welcomed a new child in 2023, learn more about taking bonding leave.

 

Safe Leave / Personal Protected Leave

  • For purposes of determining eligibility for safe leave, an individual doesn't need to prove that a court has determined that the individual was the victim of domestic violence, stalking, sexual assault or abuse.
  • Benefits may be awarded to and will require the good faith, legal attestation that they or qualifying family member are a survivor of domestic violence, stalking, or sexual assault or abuse.

 

Military Family Members (Qualifying Exigency) Leave

  • Proof of the service member’s active duty service
  • Service member’s active duty military orders
  • For all reasons an individual applies for PFMLI leave, we may request additional reasonable information or documentation necessary to process the claim