CACI No. 2611. Affirmative Defense - Fitness for Duty Statement
Judicial Council of California Civil Jury Instructions (2020 edition)Download PDF
2611.Affirmative Defense - Fitness for Duty Statement
[Name of defendant] claims that [he/she/nonbinary pronoun/it] refused to
return [name of plaintiff] to work because [he/she/nonbinary pronoun] did
not provide a written statement from [his/her/nonbinary pronoun] health-
care provider that [he/she/nonbinary pronoun] was fit to return to work.
To succeed, [name of defendant] must prove both of the following:
1. That [name of defendant] has a uniformly applied practice or
policy that requires employees on leave because of their own
serious health condition to provide a written statement from their
health-care provider that they are able to return to work; and
2. That [name of plaintiff] did not provide [name of defendant] with a
written statement from [his/her/nonbinary pronoun] health-care
provider of [his/her/nonbinary pronoun] fitness to return to work.
New September 2003
Sources and Authority
• Certification on Health Care Provider: Child Care. Government Code section
• Certification of Health Care Provider: Return to Work. Government Code section
• “Health Care Provider” Defined. Government Code section 12945.2(c)(6).
• Notice and Certification. Cal. Code Regs., tit. 2, § 11088(b).
8 Witkin, Summary of California Law (10th ed. 2005) Constitutional Law,
Chin et al., Cal. Practice Guide: Employment Litigation ¶¶ 12:311, 12:880, 12:884,
12:915 (The Rutter Group)
1 Wilcox, California Employment Law, Ch. 8, Leaves of Absence, § 8.26 (Matthew
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