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Can You Be Fired For Calling In Sick -- Even With A Doctor's Note?


sick note miss workI recently received this question from a reader:

Q: I have missed about a week and half of work due to being really sick. I can barely talk and have no voice. Keep in mind here my job is a telesales rep. I call people all day. Are they legally able to fire me even though I have a doctor's note every day I missed?

People ask me this all the time. Can you really be fired for being out sick even though you have a doctor's note? One state, Connecticut, and four cities -- Seattle, Portland, San Francisco and Washington, D.C. -- have paid sick leave laws. A fifth city, Philadelphia, is voting on a measure Thursday, but if you don't live in any of these places, you could possibly be out of luck. It depends on how long you've been employed, how many employees your company has, and how sick you are. Here's what you need to know about your legal rights when you call in sick.

Missing one day: If you're out sick for a day with, say, a cold or something minor, you have zero legal protection. The laws that protect you for illness only protect you if you have a serious medical condition or an illness relating to a disability. Doctor's note or no, if you live anywhere but Montana you're in an at-will state, meaning you can be fired for any reason or no reason at all. That includes being sick. In this case, you missed a week and a half, so your condition is probably considered serious. But that's not the end of the story. You still might not be protected.

More: Survey: Craziest Excuses for Calling in Sick

Small employer: If your employer has fewer than 15 employees, you are not protected under the Americans With Disabilities Act, so even if you are out sick for a disability, such as chemo, surgery or other necessary treatment, you have no protection unless your state or local laws cover smaller employers. If your employer has fewer than 50 employees within a 75 mile radius of your workplace, you won't be covered under the Family and Medical Leave Act. If you have a serious medical condition, you may be at risk of losing your job when you come back.

Serious medical condition: If your employer has at least 50 employees within a 75 mile radius of your workplace, if you've worked at least a year, and if you have worked at least 1,250 hours in the past year, you are entitled to up to 12 weeks of leave for a serious medical condition. However, "serious" is pretty limited. The Department of Labor explains "serious" this way:
  • any period of incapacity or treatment connected with inpatient care (i.e., an overnight stay) in a hospital, hospice or residential medical care facility; or
  • a period of incapacity requiring absence of more than three calendar days from work, school, or other regular daily activities that also involves continuing treatment by (or under the supervision of) a health care provider; or
  • any period of incapacity due to pregnancy, or for prenatal care; or
  • any period of incapacity (or treatment therefore) due to a chronic serious health condition (e.g., asthma, diabetes, epilepsy, etc.); or
  • a period of incapacity that is permanent or long-term due to a condition for which treatment may not be effective (e.g., Alzheimer's, stroke, terminal diseases, etc.); or,
  • any absences to receive multiple treatments (including any period of recovery therefrom) by, or on referral by, a health care provider for a condition that likely would result in incapacity of more than three consecutive days if left untreated (e.g., chemotherapy, physical therapy, dialysis, etc.).

In this case, you saw a doctor and were out for more than three days, so if you meet the other requirements of FMLA coverage, your employer can't fire you for missing work.

More: 8 Ways Employers Can Discriminate Against Workers - Legally

Disability: Assuming your employer has at least 15 employees, they're covered under the Americans With Disabilities Act. If your illness related to a covered disability, then your employer must grant a reasonable accommodation for your disability. A reasonable accommodation could include time off for a disability-related illness or treatment. The EEOC explains the meaning of a covered disability this way:
  • A person can show that he or she has a disability in one of three ways:
  • A person may be disabled if he or she has a physical or mental condition that substantially limits a major life activity (such as walking, talking, seeing, hearing, or learning).
  • A person may be disabled if he or she has a history of a disability (such as cancer that is in remission).
  • A person may be disabled if he or she is believed to have a physical or mental impairment that is not transitory (lasting or expected to last six months or less) and minor (even if he or she does not have such an impairment).

In this situation, if the strep was caused or exacerbated by a disability that suppresses your immune system, such as HIV or cancer treatment, then your employer might have to accommodate you. Otherwise, strep is not a disability that would be covered under ADA.

In most cases, you can be fired for being absent even if you have a doctor's note. If your employer is threatening to fire you if you miss work, then show up on a stretcher if you have to. It beats losing your job.


If you need legal advice, it's best to talk to an employment lawyer in your state, but if you have general legal issues you want me to discuss publicly here, whether about discrimination, working conditions, employment contracts, medical leave, or other employment law issues, you can ask me at AOL Jobs. While I can't answer every question here, your question might be featured in one of my columns, or an upcoming live video chat.

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Donna Ballman

Donna Ballman

Donna Ballman’s new book, Stand Up For Yourself Without Getting Fired: Resolve Workplace Crises Before You Quit, Get Axed or Sue the Bastards, was recently released and is currently available for purchase. The book won the Law category of the 2012 USA Best Book Awards. Donna is the award-winning author of The Writer’s Guide to the Courtroom: Let’s Quill All the Lawyers, a book geared toward informing novelists and screenwriters about the ins and outs of the civil justice system. She’s been practicing employment law, including negotiating severance agreements and litigating discrimination, sexual harassment, noncompete agreements, and employment law issues in Florida since 1986. Her blog on employee-side employment law issues, Screw You Guys, I’m Going Home, was named one of the 2011 ABA Blawg 100 and the 2011 Lexis/Nexis Top 25 Labor and Employment Law Blogs.

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GreatEagle

What is sick leave for if it can't be used to recover from an illness that would prevent one from performing his or her job effectively and to prevent infecting coworkers? The flu, strep, severe sinus congestion, diarrhea, and many other illnesses do not fall under the category of "disability", but the article above makes it sound like one cannot take sick leave (or even leave without pay in the absence of sick leave) without the risk of being fired. A good policy is to call one's supervisor as soon as practical to explain the situation and get concurrence that staying home is the best option for all.

April 17 2013 at 12:55 AM Report abuse +1 rate up rate down Reply
Debbie E. R.

How about a worker who is out intermittently for over a month for a "cat allergy"?

April 16 2013 at 12:54 PM Report abuse rate up rate down Reply
Daniel Phillips

Re:: Sick Days----Employment;; Where? That's the fair question.. " Employers"can do anything they want with a lack of concern for reprissal or the wrong worker in the right job.. You can become a victim.. So can an "employer" fire you for- Only-- missing a day's work-- Yes-- of course.. We could go down the list of just about any reason an employer can use as a reason.. It's anywhere you work-- Employers reserve the right to change any policy any time.. Why do employers face a continous borage of law suits and litigation? Someone seeks legal remedy and feels their rights have been infringed.. All kinds of state changes improve rights for workers but get lost in transition with few exception.. Lunch breaks, Restroom facillities, to name just a few..

March 16 2013 at 4:06 AM Report abuse rate up rate down Reply
Paula

I smell lawsuits stemming from workers who drop dead on the job because they were afraid to stay home or people who catch an illness because their coworker came to work with some viral infection. Lesson people, wait to get sick Friday afternoon so you have Saturday and Sunday to recover. :-)

March 15 2013 at 10:52 PM Report abuse rate up rate down Reply
invmartyc

Face it, the american worker has no rights at all! We serve at the pleasure of our masters, the 1%.

March 15 2013 at 7:48 PM Report abuse rate up rate down Reply
robth3blogger2

Terming people, in this economy over stupid sh*, is a recipe for disaster that can backfire. Desperate people on edge? Don't push too hard.

March 15 2013 at 6:05 PM Report abuse rate up rate down Reply
jrexmarda

On the other hand, if the boss finds you a valuable asset he will be happy to have you work until you drop dead.

March 15 2013 at 2:24 PM Report abuse +2 rate up rate down Reply
Kay

Very interesting article. I was fired because the girl who had my job before me wanted to come back to work and at the same position. They made my life miserable for a month hoping that I would quit, but I needed the small pay that I made. In the end they fired me and when I talked to the owned he lied and said that he didn't know what was going on. I knew that wasn't true, so I just left, but I was able to get unemployment. When they fired me they said that I was "over paid," at minimun wage and no benefits, "was rude to customers," even though my job was not to work on the floor only to cover lunch sometimes. But I also had women come in and ask for me to help them because they said they liked the way I treated them.....lol. They actually did me a favor because I got a better job but when I got injured at that job and had to go to the doctor this company said that they would pay my medical bill. So when the doctor told me to come back in a week, they didn't want to pay for that visit and laid me off. At that business, we had 18 months recall rights. The company was working people overtime every week and the others kept telling them to recall me but they just said they didn't need me. Guess what? The day my 18 mos. were up, they hired 2 new employees! Many of those employees were very upset with the owners over that move. Now the company has gone out of business. After that I got a very good job at a major company near by and ended up making more than twice what I could have made at the last company. I was making more than $20 per hour.

At the last company I have seen them fire people for different reasons, stealing, lying, things like that. One girl wanted to go to Chicago with some family members but told her boss that her grandma had died there. She had been missing lots of work so the company asked her to bring in a copy of the obituary, which of course she couldnt produce. It was just a matter of time, many of the same group of workers all supposedly went to the same doctor and would get medical excuses for when ever they didn't feel like working. Until one day someone brought in an excuse with many words spelled incorrectly! From then on the company wouldn't accept excuses from that doctor. Someone had stolen the pads from the doctors office! At this same company, my supervisor tried to fire me but having people tell many lies about my work and most all knew what was going on. She ended up being demoted!

March 15 2013 at 12:27 PM Report abuse rate up rate down Reply
1 reply to Kay's comment
ticker1

Thank you for your response Kay, I understand where you are coming from with yours.!!! Though I am happy for you that in the end it worked out well. They are gone and YOU are all the better for it. (though does not quite make up for the frustrationn in the meantime ) ......I wish you much luck ..........Ticker1

March 18 2013 at 11:42 AM Report abuse -1 rate up rate down Reply
gosoaring10

For all the blather about "employee rights", most people have very few protections especially in this time of scarce jobs.

In so-called right-to-work states where employment is at-will (the employer's will, not your own), you can be here today and gone tomorrow whenever your employer feels like it. Too old? You're out! Making too much money? You're out! Got an illness? You're out! Boss doesn't like your attitude? You're out!

All the cards are stacked in favor of the employer these days. We're rapidly regressing to a turn of the century sweat shop way of doing business in this country and it's disgusting.

March 15 2013 at 10:15 AM Report abuse +10 rate up rate down Reply
3 replies to gosoaring10's comment
ticker1

I have been 'relieved" of my duties as I worker at coca-cola after 15 years of being there. I had doctors notes, I had paperwork stating my illness. I was told I was covered under Workers comp. However after I had taken more days off (for a serious illness yes, an on going one that has now been corrected) I was told NO I was Not after all covered by workers comp. So all the days I thought WERE covered were now not covered. Also I was told I was covered under disability and after I took more days off I was told no , sorry those days are not covered. I am not sure what to do with this, my union is working on it, however I sit at home unable to return to my job Or collect unemployment because no-one is sure exactly if I should have been fired! Even the night of my termination I had one boss tell me I was conered, Then HIS boss told him to let me go. How does this work if My employer does not even know the rules But they expect me too? I would appreciate and and all information you may be able to pass along to me, Thank you . (Ticker1@aol.com)

March 15 2013 at 8:14 AM Report abuse +2 rate up rate down Reply
3 replies to ticker1's comment

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