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
OMB: 1235-0003
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1235-0003 can be found here:
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pdf| File Type | application/pdf |
| File Title | Certification of Health Care Provider for
Employees’s Serious Health Condition
under the Family and Medical Leave Act WH-380- |
| Subject | WHD |
| Author | U.S. Department of Labor |
| File Modified | 2023-02-08 |
| File Created | 2023-01-25 |