← Back to country collection

I need to care for a seriously ill relative in Ontario: is the leave paid?

Scope: Ontario · ESA family medical leaveSource checked: 4 October 2026
Official guidanceCoverage / exclusions: The relative, medical certificate and qualifying situation matter; EI benefits have separate eligibility.

Separate job-protected absence from EI or an employer’s pay arrangement.

Reading body prepared:4 October 2026

Content review lead:Lemon

What this particular leave covers

Ontario family medical leave is unpaid, job-protected ESA leave of up to 28 weeks in a specified 52-week period. It concerns care or support for a qualifying family member, or qualifying person who considers the employee like family, supported by a qualified health practitioner’s certificate of a serious medical condition with a significant risk of death within 26 weeks. Other care leaves have different tests. A serious illness alone does not identify the correct leave, and unpaid job protection is separate from federal EI benefit eligibility.

Check eligibility before treating 28 weeks as your balance

The guide covers ESA employees without a minimum service or employer-size requirement. Confirm the qualifying relationship and care or support. The 28 weeks are shared among Ontario employees using this leave for the same person. A part-week counts as a full week. The 52-week period begins with the week in which the certificate’s 26-week period starts. Leave can end earlier, including at the end of the week of death, expiry of the 52-week period or exhaustion of the 28 weeks, whichever comes first. These conditions matter before calculating your available time.

Prepare the certificate and written notice

A certificate need not be in hand before leave starts, but must eventually be obtained to establish entitlement. The employer can request a copy, which must be provided as soon as possible. The certificate identifies the person and required serious-condition/risk period; the guide does not require a full diagnosis history. Notify the employer in writing before leave or as soon as possible if it has already begun. Keep each leave period, notice and response together, and ask which qualifying relationship or form must be documented.

Keep ESA leave and EI payments on separate tracks

Ask the employer which ESA leave it records and how employment and benefits are handled. Separately follow Service Canada’s current instructions if seeking EI caregiving benefits. An employer’s leave decision is not an EI benefit decision, and receiving a benefit does not automatically establish this leave’s conditions. Do not assume that the same certificate satisfies every programme without checking the recipient’s requirements.

Hypothetical illustration: a care request needs a category

An employee needs time to care for a seriously ill parent. The employee identifies the relevant certificate and care period, then asks HR which statutory leave is recorded and what eligibility and sharing information is needed. Separately, the employee asks Service Canada about any benefit application. If the certificate does not establish the family-medical-leave test, the next question is whether another leave fits the actual care situation. The example does not predict the parent’s health, approve leave or guarantee payment.

If leave is refused or resignation is suggested

Keep the request, supporting certificate, leave dates, employer decision and stated reason. Seek timely Ontario-specific advice with that record, explaining whether the dispute concerns the leave category, proof, pay or pressure to leave. Keep the relative’s private clinical records separate from routine correspondence. Do not treat an EI refusal as proof that all ESA protection has ended or sign a resignation simply to resolve a paperwork dispute.

Need to take the next step?

References

Ontario · family medical leave

This is our independently written reading guide. Reference details are recorded below.

https://www.ontario.ca/document/your-guide-employment-standards-act-0/family-medical-leave

More from this country