For Amazon employees

Amazon doctor's note requirements for DLS leave

For Amazon medical leave, start with the certification request in your DLS (Disability and Leave Services) case. This guide explains the medical facts, job limits, and leave dates a clinician may need to document, plus what to do if DLS asks for more information.

Certicare provides online clinical review for patients physically in New York at the time of evaluation. We are an independent paid service, not affiliated with Amazon. Amazon makes the final decision on leave requests.

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Why did DLS call your doctor's note "insufficient documentation"?

A note that only says “Patient needs time off work for medical reasons” may leave key questions unanswered: When did the condition begin? Which job duties are affected? How much leave is medically necessary? An FMLA certification needs sufficient medical facts to support the request.

Read the specific deficiency notice in your DLS case. Your clinician can address missing or unclear information using your history, evaluation, and any relevant records.

What does DLS look for in the certification?

For FMLA leave for your own serious health condition, a certification may need the information below. An accommodation request or disability-benefits claim has separate requirements. Share the current DLS packet and your job duties with the clinician so they can address your request.

A clinician documents:

  • The provider's name, practice, and contact information.
  • When the condition began, even approximately, and how long it's expected to last.
  • Medical facts that support the need for leave, such as symptoms, treatment, or periods of incapacity. A diagnosis is not required for an FMLA certification.
  • How the condition prevents you from doing one or more essential job duties, or why time away is needed for treatment. Describe your actual work, such as lifting, standing, walking, or operating equipment. The clinician documents only supported limits.
  • Why leave is medically necessary and how long it is expected to last, including the dates or reduced schedule needed.
  • For intermittent leave, the medical need for time off and an estimate of how often episodes or treatments will occur and how long they will last.

The U.S. Department of Labor's certification guidance explains these FMLA requirements. Qualifying health care providers include nurse practitioners authorized to practice under state law; a physician is not the only provider who can certify FMLA leave.

A vague note vs. an adequate one

Here's the same case, documented two ways. It's an illustrative example — the condition and the numbers are hypothetical, not a template to copy or medical advice. It shows the difference between a note written to excuse an absence and a certification written to answer what the form asks.

Vague — written to excuse an absence

“Patient needs time off work for medical reasons. Please excuse absences until further notice.”

Adequate — what a licensed clinician documents

“Patient under care for lumbar disc herniation with left-sided radiculopathy; symptoms began about three weeks before this certification. Because of the condition, the patient cannot perform the essential functions of their warehouse role: no lifting, pushing, or pulling over 10 pounds, and no standing or walking more than 20 minutes without a seated break. A sedating medication makes operating powered equipment unsafe. Continuous leave is medically necessary, with an expected duration of six to eight weeks and re-evaluation at that point.”

In everyday language, this example describes a lower-back disc problem affecting a nerve on the left side. Onset means when the condition began. Duration means how long it is expected to last.

These excerpts show how specific medical facts can support a request. A complete certification also needs the applicable provider information and other required details; the example is not an approval guarantee.

How to fix incomplete or insufficient DLS paperwork

Under FMLA rules, a certification is incomplete when an applicable entry is blank. It is insufficient when the information is vague, unclear, or does not answer the question. An RFI asks for additional information; check the message and case status for the decision and deadline.

  1. Read the DLS message. Identify the missing information, response deadline, and case number. If the request is unclear, ask DLS to specify what it needs.
  2. Send the request to your clinician. Include the current packet, the DLS message, relevant records, your job duties, and the dates or schedule you are requesting.
  3. Have the clinician address each medical question. Corrections must reflect their evaluation and medical judgment. Do not fill in or change the clinician's answers yourself.
  4. Submit the completed documents. Follow the instructions in your case, keep a copy and submission confirmation, and check for further requests.

For FMLA, an employer must accept a complete and sufficient certification regardless of format. That rule does not make the same document sufficient for a separate accommodation or disability-benefits request. Our Amazon DLS forms guide explains which documents serve each purpose.

FMLA certification deadlines

For FMLA certification, employees generally must receive at least 15 calendar days to provide the initial certification. If a submitted certification is incomplete or insufficient, the employer must explain the deficiency in writing and generally allow at least 7 calendar days to correct it. Extra time is required when meeting the applicable deadline is impracticable despite diligent, good-faith efforts. See 29 CFR § 825.305.

Other DLS processes can use different deadlines. Follow the notice for your request, and tell DLS promptly if your clinician cannot meet the deadline.

What intermittent leave needs: frequency and duration

Some conditions don't take a worker out for one continuous stretch. They flare, then ease, on their own schedule — a migraine disorder or a flare-based autoimmune condition are common examples.

For FMLA intermittent leave, the clinician estimates how often episodes or treatments are expected, how long they may last, and why time off is medically necessary. When the pattern is unpredictable, the estimate reflects the clinician's informed medical judgment.

The estimate helps DLS assess the requested schedule. Certification does not itself approve future absences. Check your approval notice and follow the applicable absence-reporting procedures.

What Certicare's licensed clinician documents

Certicare provides clinical review for patients physically in New York at the time of evaluation. A state-licensed provider reviews your questionnaire and any records you share, then completes and signs the requested paperwork when the medical findings support it. Most cases are handled through the questionnaire; occasionally the provider follows up with a short call or a few clarifying questions.

Most certifications arrive by email within 24 hours of us having everything we need. Direct delivery to DLS is available after you complete an authorization. Questions before you start? hello@certicare.org.

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$49 covers this request: clinical review, the DLS form it needs, and any DLS verification, clarification, or corrections on that form — no additional charges. A later extension, return-to-work form, new condition, or other additional form is a separate request with its own fee.

Certicare is not affiliated with Amazon. Amazon makes the final decision on leave and accommodation requests. This page is general information about the leave process, not legal advice.

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Certicare was founded by Rebecca Martel, APRN, FNP-BC, a family nurse practitioner board certified in family health and licensed in New York State. She started Certicare out of a commitment to workers' rights and a belief that getting the medical documentation you need shouldn't be complicated.

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Certicare is not affiliated with Amazon. Amazon makes the final decision on leave and accommodation requests. This page is general information about the leave process, not legal advice. Policy details verified as of August 2026.

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