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If the employee fails to provide complete and sufficient medical certification, his or her FMLA leave request may be denied. Return completed certifications to the employee to provide to his or her employer.There are five DOL optional-use FMLA certification forms. The following licensed Health Care Providers1 may complete necessary documentation for Paid Family Leave within their scope of practice:. A health screening for a job is a medical test an employer asks you to complete. INSTRUCTIONS to the EMPLOYEE: Please complete Section II before giving this form to your medical provider. Complete an Employee Work Order first, before contacting the contracted clinic. Non-employees affiliated with contracted agencies ( ie. The employee must complete the forms and return to their employer. Employers with fewer than 50 employees are not required to pay the employer portion of the premium, but must collect the full employee portion (73.