HAR §12-27-11
HAR §12-27-11. Certification
Cite as Haw. Code R. § 12-27-11
(a) An employer may
require that a claim for family leave be supported by
written certification. Unless the employer provides
otherwise, certification requested by the employer
under this section shall be at the employee's expense,
except as provided in subsection (e).
(b) When the request for family leave is
foreseeable, the employee shall furnish certification
prior to the commencement of the family leave. In the
case of unforeseeable family leave, the employee shall
furnish certification no later than two working days
after the family leave commences.
(c) The following shall be deemed acceptable
certification:
(1) For the birth of a child of an employee, a
written statement issued by a health care
provider or the family court;
(2) For the placement of a child for adoption
with an employee:
(A) The petition filed by the employee with
the court; or
(B) A written statement issued by:
(i) A recognized adoption agency;
(ii) The attorney handling the
adoption; or
(iii) The individual officially
designated by the birth parent to
select and approve the adoptive
family.
(3) For the serious health condition of a child,
spouse, parent, or reciprocal beneficiary, a
written statement by a health care provider.
Certification shall contain the following
information:
(A) The patient’s name and relationship to
the employee;
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(B) The health care provider’s name, title,
type of practice or field of
specialization, location, and
signature;
(C) A statement that the patient’s
condition qualifies for family leave as
a serious health condition as defined
under section 12-27-1;
(D) A statement that the employee is needed
to participate in the care of the
patient;
(E)
A statement that the patient’s
condition requires hospitalization or
the health care provider’s continuing
treatment or continuing supervision;
(F) The approximate date the serious health
condition commenced, and the probable
duration that the employee will be
needed to care for the patient with a
serious health condition; and
(G) Whether it will be necessary for the
employee to take leave intermittently;
and, if so, the estimated period of
time that the employee will be needed
to care for the patient with a serious
health condition.
(d) For situations where the serious health
condition is chronic and continuous, and the employee
foresees the need for family leave in another twelve-
month period, the employer may require the employee to
provide certification by the health care provider of
the serious health condition for each twelve-month
period of family leave.
(e) At the employer’s expense, an employer may
also require re-certification during the course of any
twelve-month period, but not more often than thirty
days, if:
(1)
Circumstances described by the previous
certification have changed significantly;
e.g., the duration of the illness, the
nature of the illness, and complications; or
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(2) The employer receives information that casts
doubt upon the employee’s stated reason for
the absence.
(f) In cases where the employee’s original
family leave request was under the four-week maximum,
and the employee requests an extension of the approved
family leave within the twelve-month period, the
employer may require another certification from the
employee of the need for the extension.
(g) For purposes of confirming family
relationships in granting of family leave, the
employer may require the employee who gives notice of
the need for family leave to provide reasonable
documentation or statement of the relationship.
Reasonable documentation may include, but is not
limited to, a court document, or a birth, marriage, or
reciprocal beneficiary certificate.
(h) If an employer finds a certification
incomplete under paragraph (c)(3), the employer shall
advise the employee and provide the employee a
reasonable opportunity to remedy such deficiency.
(i) Notwithstanding subsection (c), for a birth
or a serious health condition occurring or situated
outside the State of Hawaii, certification shall be
deemed sufficient if provided by a health care
provider who is:
(1) Authorized and performing within the scope
of practice as defined under a state law; or
(2)
Authorized to practice in accordance with
the law of another country, and who is
performing within the scope of the practice
as defined under that law.
[Eff 2/3/05 ] (Auth: HRS §398-11)
(Imp: HRS §§398-1, 398-6)