Complete the caregiver leave certificate without retyping the details

The family caregiver leave medical certificate repeats the employee's and family member's details. This guide is an example of storing them once in hivi.

Official form and source

• Service page: Family caregiver leave — Your guide to the ESA, ontario.ca
• Form (Central Forms Repository): Medical Certificate to Support Entitlement to Family Caregiver Leave, Family Medical Leave, and/or Critical Illness Leave — on00407

What this form is about

The certificate supports an employee's entitlement to family caregiver, family medical, or critical illness leave under the Employment Standards Act, based on a qualified health practitioner's statement.

Before you start: what to gather

• The employee's name and contact details.
• The family member's name and details.
• A qualified health practitioner to complete the medical statement.

Confirm the current requirements on ontario.ca.

How hivi makes it faster

1. Store the details once. Save the employee's and family member's details in hivi.
2. Autofill the repeating fields. Use the hivi Chrome extension on a web form, or fill a PDF from your saved profile inside hivi.
3. Have the practitioner complete the medical section.
4. Give the completed certificate to your employer.

Why do it in hivi

Leave and benefit forms repeat the same personal details. Stored once in hivi — in Canada, with self-hosted AI — each one starts mostly filled.