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Form Fmla Printable

Form Fmla Printable

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Instructions and help about family medical leave request form

welcome to module two in this module we'll review the forms provided by the Department of Labor for family medical leave situations the website address for the Department of Labor is located in the top leftand corner of the screen .dol.gov this form entitled certification of healthc care provider for employees serious health condition is the form that a supervisor should give to an employee when he or she is taking a leave for his or her own serious health condition this form is also referred to as form wh 380e section one of the form is for the supervisor to complete and as you can see it's very brief it asks with the employer name and contact information the employees job title and regular work schedule and the essential job functions if you don't wish to list the essential job functions you can simply attach a job description one thing to note is the paragraph above that states that employers must keep all of the medical records related to family medical leav

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