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  1. formswift.com › form-wh-380-eFMLA Form WH-380-E | Create and Download | PDF - FormSwift

    Form WH 380-E, Certification of Health Care Provider for Employee's Serious Health Condition, is a form used by employers and sent to the US Department of Labor, Wages and Hour Division. This form verifies that an employee has a serious medical condition.

  2. www.usaid.gov › forms › wh-380-eWH-380-E (Certification of Health Care Provider for Employee's...

    WH-380-E (Certification of ... Performance and Financial Reporting; FY 2023 Agency Financial Report; Records and Reports; Budget Justification; Evaluation; Our Commitment to Transparency; Policy and Strategy; ... Forms; WH-380-E (Certification of Health Care Provider for Employee's Serious Health Condition)

  3. www.pdfrun.com › form › wh-380-eFillable Form WH 380-E | Edit, Sign & Download in PDF - PDFRun

    Fillable Form WH 380-E. This medical certification form will provide the office with information needed to determine if the employee’s requested leave is for a qualifying reason under the Family and Medical Leave Act or FMLA. FILL ONLINE. EMAIL.

  4. www.dol.gov › sites › dolgovCertification of Health Care Provider for Employee s Serious...

    The Family and Medical Leave Act (FMLA) provides that an employer may require an employee seeking FMLA protections because of a need for leave due to a serious health condition to submit a medical certification issued by the employee’s health care provider. 29 U.S.C. §§ 2613, 2614(c)(3); 29 C.F.R. § 825.305. The employer must give the ...

  5. www.aps.edu › fmla-forms › form-wh-380e-certification-of-health-care-providerForm WH-380E: Certification of Health Care Provider (PDF)

    Certification of Health Care Provider for Employee’s Serious Health Condition under the Family and Medical Leave Act. Form expires June 30, 2023. WH-380-E.pdf — PDF document, 284 KB (291515 bytes)

  6. www.usaid.gov › sites › defaultU.S. Department of Labor Employee’s Serious Health Condition...

    INSTRUCTIONS to the EMPLOYER: The Family and Medical Leave Act (FMLA) provides that an employer may require an employee seeking FMLA protections because of a need for leave due to a serious health condition to submit a medical certification issued by the employee’s health care provider.

  7. www.dol.gov › agencies › whdFMLA: Forms - U.S. Department of Labor

    The Department has developed optional-use forms which can be used by employers to provide required notices to employees, and by employees to provide certification of their need for leave for an FMLA qualifying reason. These forms are electronically fillable PDFs and can be saved electronically.