The Functional Abilities List (FML) is an overview of the medical abilities and limitations of an employee who is (long-term) ill. The formal FML is drawn up by an insurance physician (verzekeringsarts) at the UWV (UWV) at the WIA assessment or a reassessment. During the continued-pay period (the first 104 weeks of illness), the company doctor (bedrijfsarts) usually records the workload capacity in an employability profile (inzetbaarheidsprofiel, IZP), which serves the same purpose in practice. The document describes not only what someone cannot do, but also what is still possible.
What’s in the FML?
The FML consists of six fixed components that together provide an idea of someone’s functional capacity:
- Personal functioning: for example concentration, memory and stress resistance.
- Social functioning: communicating, collaborating and managing conflict.
- Workplace adjustments: such as the influence of noise, temperature or stimuli.
- Movement: the ability to walk, lift or perform repetitive actions.
- Static postures: how long someone can sit, stand or maintain the same posture.
- Working hours: the number of hours and days that someone can work responsibly.
What is the FML used for?
The FML is indispensable in the process of disability and reintegration. It is the starting point for the labour expert (arbeidsdeskundige) to assess:
- what work someone can still do;
- whether the current role can be adapted;
- whether suitable work should be sought outside the employer’s own organisation.
In addition, the FML also determines what degree of disability is granted and what this means for wage supplements or benefits.
The FML and reintegration
The information from the FML is often the basis for deciding whether an employee can return to their own position, do other work within the organisation, or whether to start with second track reintegration. In a track 2 route you are looking for sustainable work with another employer, in line with the options set out in the FML.
Why is the FML important?
For employees, the FML provides clarity about their options and limits. For employers, it offers guidance and a legally substantiated framework to properly implement the reintegration obligation. This makes the FML not only a medical document, but also a practical tool for achieving feasible work solutions.
Frequently Asked Questions
What is in the FML?
Six fixed sections: personal functioning, social functioning, workplace adjustments, movement, static postures and working hours. Together they give a picture of what someone can still manage.
Who draws up the FML?
The company doctor or the insurance physician records the capacity. The labour expert then uses that list to assess which work still fits.
What happens with the outcome?
It determines the route: back into your own work, adjusted work within the organisation, or the second track. How that works through is covered in the FML in a labour expert assessment.
What if I disagree with the FML?
Discuss it with the company doctor first and ask for the reasoning per section. If you cannot resolve it, you can request a second opinion or an expert opinion from UWV.
Part ofOccupational assessment
Sources
The legal statements in this article are based on the sources below. Legislation changes; always check the current text for your own situation.
- UWV. (n.d.). Functionelemogelijkhedenlijst, wat is dit? Retrieved on 13 August 2026, from www.uwv.nl/nl/wia/fml-lijst
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Program Designer & Project Lead
With over 30 years of experience in HR, project management, and career development, I enjoy working at the intersection of strategy and implementation, always balancing organizational goals with human perspective.
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