WH-380-E Certification of Health Care Provider for Employee's Ser

The Family and Medical Leave Act of 1993, As Amended

WH-380-E

Employee Certifications (Serious Health Condition, Recertification, Fitness-for-Duty; Call to Military Active Duty; Qualifying Exigency Due o Call to Military Active Duty; Servicemember Illness/Injuy

OMB: 1235-0003