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.
PFMLI Documentation by Leave Type
For all reasons an individual applies for PFMLI leave, American Fidelity may request additional reasonable information or documentation necessary to process the claim, along with the following:
Medical Leave
- An individual's own serious health condition
- You will need to provide a Health Care Provider Certification. View form
Family Caregiving 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 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
- 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.
Military Family Members (Qualifying Exigency) Leave
- Service member’s active duty military orders
- Must include proof of the service member’s active duty service
- Statement detailing whether the leave will be, or is intended to be, continuous or intermittent leave
- For intermittent leave, you must provide expected frequency and duration of the leave