Document
Certification of Health Care Provider for Employees’s Serious Health Condition under the Family and Medical Leave Act WH-380-E
ICR 202605-1235-003 · OMB 1235-0003 · Object 169358200.
Document Viewer [pdf]
Status: Original and derived artifacts are available for this document.
Download: pdf
Loading document viewer…
Document Metadata
| 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-E |
| Subject | WHD |
| Author | U.S. Department of Labor |
| Last Modified By | Designer 6.5 |
| File Modified | 2023-02-08 |
| File Created | 2023-01-25 |
| Conversion State | complete |
Extracted Text
Please wait... If this message is not eventually replaced by the proper contents of the document, your PDF viewer may not be able to display this type of document. You can upgrade to the latest version of Adobe Reader for Windows®, Mac, or Linux® by visiting http://www.adobe.com/go/reader_download. For more assistance with Adobe Reader visit http://www.adobe.com/go/acrreader. Windows is either a registered trademark or a trademark of Microsoft Corporation in the United States and/or other countries. Mac is a trademark of Apple Inc., registered in the United States and other countries. Linux is the registered trademark of Linus Torvalds in the U.S. and other countries.