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FMLA: Forms | U.S. Department of Labor - DOL

    https://www.dol.gov/agencies/whd/fmla/forms
    There are five DOL optional-use FMLA certification forms. Certification of Healthcare Provider for a Serious Health Condition. Employee’s serious health condition, form WH-380-E – use when a leave request is due to the medical condition of the employee. Family member’s serious health … See more

Certification of Health Care Provider for U.S.

    https://www.dol.gov/sites/dolgov/files/WHD/legacy/files/WH-380-E.pdf
    Page 1 of 4 Form WH-380-E, Revised June 2020 . U.S. Department of Labor Wage and Hour Division Certification of Health Care Provider for Employee’s Serious Health …

Forms | U.S. Department of Labor - DOL

    https://www.dol.gov/agencies/whd/forms
    WH-5: Certificate of Training Form. WH-5 (PDF) WD-10: DBRA Report of Construction Contractor’s Wage Rates. ... WH-380-E: FMLA Certification of Health Care Provider for …

SECTION I - EMPLOYER - DOL

    https://www.dol.gov/sites/dolgov/files/WHD/legacy/files/WH-380-F.pdf
    Certification of Health Care Provider for U.S. Department of Labor Family Member’s Serious Health Condition Wage Hour Division under the Family and Medical Leave Act . …

WH-380-E (Certification of Health Care Provider for …

    https://www.usaid.gov/forms/wh-380-e
    WH-380-E (Certification of Health Care Provider for Employee's Serious Health Condition)

Fact Sheet #28G: Certification of a Serious Health …

    https://www.dol.gov/agencies/whd/fact-sheets/28g-fmla-serious-health-condition
    Certification forms - The FMLA does not require the use of any specific certification form. The Department has developed optional forms that can be used for leave for an …

Certification of Health Care Provider for U.S.

    https://hr.nv.gov/uploadedFiles/hrnvgov/Content/Resources/Forms/Attendence-Leave/WH-380-E.pdf
    DO NOT SEND COMPLETED FORM TO THE DEPARTMENT OF LABOR. RETURN TO THE PATIENT. OMB Control Number: 1235-0003 ... and sufficient medical certification …

A Guide to the New FMLA Forms - SHRM

    https://www.shrm.org/resourcesandtools/legal-and-compliance/employment-law/pages/guide-new-fmla-forms.aspx
    Among the forms changed were the WH-381, the notice of eligibility and rights and responsibilities; WH-382, designation notice; WH-380-E, medical certification …

Certification for Serious Injury or Illness of a U.S.

    https://www.dol.gov/sites/dolgov/files/WHD/legacy/files/WH-385.pdf
    Page 1 of 4 Form WH-385, Revised June 2020 . Certification for Serious Injury or Illness of a U.S. Department of Labor . Current Servicemember for Military Caregiver Leave Wage …

DOL Issues Updated FMLA Notices and Forms …

    https://www.littler.com/publication-press/publication/dol-issues-updated-fmla-notices-and-forms-addressing-gina-safe-harbor
    GINA and the FMLA Forms. To address GINA's inadvertent disclosure provisions, the DOL updated the WH-380-E medical certification form, which relates to …



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