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Form WH-381 Notice of Eligibility & Rights and Responsibilities unde
The Family and Medical Leave Act of 1993, As Amended
WH-381 02.06.20
Notice to Employee of FMLA Eligibility and Rights & Responsibilities (State, local, tribal)
OMB: 1235-0003
OMB.report
DOL/WHD
OMB 1235-0003
ICR 202304-1235-001
IC 186913
Form WH-381 Notice of Eligibility & Rights and Responsibilities unde
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1235-0003 can be found here:
2023-06-06 - No material or nonsubstantive change to a currently approved collection
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