Can You Get Fired From Work if You Have a Doctor’s Note?

An employer can request a doctor’s note, but termination laws depend on state policies and FMLA protections. Employees may have legal options if fired due to illness, disability, or medical leave violations.

By Brad Nakase, Attorney

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Have a quick question? I answered nearly 1500 FAQs.

When do you need a doctor’s note?

When an employee is sick or hurt, they may need to take time off from work. If you want proof that they were sick, you might need a note from their doctor. Another name for this letter is a “doctor’s note from work.”

Numerous federal and state statutes and acts exist to safeguard both employers and employees, and a doctor’s note for work law specifies the circumstances under which such a note may be necessary.

This article will go over the laws surrounding doctor’s notes for work, including the rights of both employers and workers, guidelines, and legal issues to consider.

The circumstances under which an employer may legally request proof of medical treatment from an employee are defined by federal and state statutes.

Employers’ policies may dictate whether or not a doctor’s note is necessary, but neither the federal government nor individual states require one.

Employers are allowed to request medical notes from employees who request FMLA leave, regardless of the length of time the employee expects to be out of commission.

If there is no state law requiring a doctor’s note, the business is free to set its own standards.

Talk to the human resources department at your workplace if you have questions regarding the rules (or lack thereof) in your state or about company policy.

Doctor’s note information

The only information that can be included in a doctor’s note is the date and time of the employee’s examination and the dates that the employee will not be able to work due to illness.

Any additional information beyond that could put the note in violation of laws pertaining to patient privacy.

For safety reasons, employers can ask for a doctor’s note stating the employee is not infectious before they return to work if they are worried about an illness that is transmissible.

It is the responsibility of the employer to prove that this is essential to the company’s operations.

Notes from a doctor and making accommodations

Employers have the right to request a doctor’s note verifying an employee’s disability and the necessity of reasonable accommodations in cases where such modifications are required by law.

In cases where the impairment is not immediately obvious, such as in the case of heart conditions or arthritis, a doctor’s note may also be required.

Thereafter, the business cannot terminate the employee’s employment or engage in other forms of discrimination based on the note.

Workers’ protections

It is not necessarily against the law for an employer to refuse to accept doctor’s notes; however, it may be illegal in your state or when an employee is requesting time off under the Family and Medical Leave Act (FMLA).

Workers are required to inform their employers when they are eligible for and use FMLA leave.

Regardless of how similar or different two companies’ sick leave policies are, every business with full-time workers needs one. Employers in states that do not require employees to provide a doctor’s note to take time off due to illness are free to set their own policies regarding such absences.

An employer cannot legally refuse to accept a note from an employee requesting FMLA leave due to a medical emergency.

Whether or not a state has a law requiring a doctor’s note has no bearing on this. Your doctor’s note may be double-checked by your employer.

The Family and Medical Leave Act protects workers by allowing them to take up to twelve weeks off per year for medical reasons, without fear of retaliation from their employers.

U.S. Department of Labor regulations state that workers are not required to divulge information about their injuries or illnesses or to give copies of their medical records. The law considers that information to be private.

However, it is within the law for employers to request medical certification from their employees confirming the existence of the condition. Here, a note from a doctor might be necessary.

It is typically enough to have a doctor’s note outlining the condition(s), along with the doctor’s signature, date, and stationery.

Criteria for employers

The Americans with Disabilities Act specifies that, in order to legally accommodate a worker’s disability, employers must obtain a doctor’s note.

They may also do this if an employee sustains a less visible injury on the job, in which case they might demand that their employer provide substantial accommodations so that they can keep working.

It is permissible for employers to legally demand a doctor’s note, provided that their sick note policy does not:

  • Invade employees’ privacy
  • Freedom from discrimination allowances

Additionally, employers can request a doctor’s note from sick workers, but they must be fair in their policy enforcement.

In addition, there are additional restrictions imposed on the requirements in order to safeguard employee rights.

When an employee takes more than three sick days in a row, for instance, their employer may demand that they submit a doctor’s note explaining their illness. But businesses can’t make some workers submit a sick note every time they’re sick while letting others off the hook without doing so.

Companies are also required to maintain the confidentiality of their employees’ medical records independently of their personnel files. The business may also get in touch with the medical center or doctor to double-check the details.

It is against the law to divulge an employee’s health records without their permission, to use such records to discriminate in hiring or promotion decisions, or to fail to secure such records.

Guidelines for workers

The following are some suggestions for how to ensure that staff members follow all policies and procedures regarding medical records:

  • If you need a doctor’s note, see your regular doctor; don’t use a service online. In the event that your employer discovers that you forged a doctor’s note, you could face legal consequences for your actions.
  • If you want to take advantage of FMLA’s 12-week unpaid, job-protected medical leave, you need to work for your employer for at least a year and 1,250 hours.
  • Keep in mind that FMLA does not mandate paid leave, but that some companies choose to provide it anyway. To be eligible for paid leave, you must follow all of your employer’s policies.
  • If you plan to take future FMLA leave, be sure to give your employer at least 30 days’ notice.
  • Privacy laws protect your health information, so your boss cannot request more information than is required to verify your absence, even if a doctor’s note is required.
  • Before you return to work, make sure you can handle the responsibilities that come with it. To make sure you’re healthy enough to do your job again, your doctor may give you the go-ahead to return to work.

Best practices for companies

Court cases show that if an employee says they were absent due to a serious health condition and provides some medical proof, like a doctor’s note, that is usually enough to justify their time off.

The FMLA protects employees in this situation by prohibiting any kind of disciplinary or retaliatory action that is connected to a leave of absence. But the worker has to have proof from their doctor that they were sick and couldn’t come in for work.

In light of the rulings in the courts, businesses should establish protocols for the handling of sick notes from employees, bearing in mind the following guidelines:

  • Instead of leaving the sick leave with the manager or supervisor, employers should at least have human resources or another trained staff member deal with it. This will lessen the likelihood that the supervisor will take retaliatory action, which could lead to the employee bringing a lawsuit that they would rather not have to deal with.
  • It is also important for employers to be aware that employees are not required to submit a request for FMLA leave in order to obtain legal protection.
  • A company is not exempt from complying with the Family and Medical Leave Act (FMLA) if it fires or disciplines an employee who has taken a long period of sick leave and provides a doctor’s note supporting their illness.

Can you be fired from your job if you have a doctor’s note?

Employers in states that allow at-will employment can fire an employee at any time, even if they have submitted a valid sick note in accordance with business policy. But if an employee believes their termination was based on legally protected grounds, they have the right to sue their employer.

However, a worker may lose their job if their excessive sick leave is causing problems for the company. Here, a worker is let go by their employer because they aren’t meeting expectations.

On the other hand, sick leave regulations prevent employers from doing whatever they want. They must avoid inquiring about the employee’s medical condition as doing so could give rise to a case of discrimination.

Missing work for an extended period may be grounds for termination

There are some injuries and illnesses that are easy for employers to notice, so they may not require a doctor’s note right away. But if it’s a serious injury like a fractured arm or something else that makes the worker unable to perform their job duties, the company may have to decide whether to let them go or maintain them on a part-time basis. A doctor’s note might not be enough to change the employer’s mind in this case.

The answer to this question is yes, it is legal for an organization to excuse or fire an injured worker if they are unable to perform their job duties. However, the company cannot act in retaliation, like firing the worker for not being careful and getting hurt.

Get to know your company’s policies in the event of an on-the-job injury by consulting with a manager or supervisor; every business has its own sick leave policy and culture.

To avoid legal trouble and ensure compliance, it’s in the best interest of employers for all managers to be well-versed in the company’s policies.

Federal and state requirements for doctor’s notes

It is important to note that there is no federal law that mandates paid sick leave for employees working in the private sector; however, former President Barack Obama issued an executive order mandating paid sick leave for government contractors.

Yet, this in no way negates the protections afforded to workers by laws such as the ADA and the FMLA.

It is against the law for an employer to treat an eligible individual differently because of their disability, according to the Americans with Disabilities Act (ADA). It is now common practice for companies to inquire about potential employees’ disabilities during the hiring process. The majority of California employers do not demand disability documentation. They must provide reasonable support for people who can’t do their jobs because of disabilities, following the laws about accommodations.

We advise anyone who has experienced disability discrimination to seek the advice of an attorney before deciding whether to pursue legal action, such as a wrongful termination lawsuit.

Conclusion

You can see that there is a lot of complexity in the rules, regulations, and expectations surrounding doctor’s notes, long absences, and disability. Sometimes, these laws are not very clear. To find out if you have grounds to sue, it is best to consult with an experienced attorney.

Several states’ “at-will” employment laws make it legal for employers to fire workers whenever they want (so long as it’s not because of discrimination). This means an employer can dismiss an employee even if the worker has a doctor’s note (and hasn’t used FMLA).

No employer has the right to fire an employee just because they are seeking worker’s compensation benefits or because they are disabled, provided that the employee is able to perform their job duties with reasonable accommodations.

Have a quick question? We answered nearly 2000 FAQs.

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