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Human cgflmatop printable 2025

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The document is a certification form for health care providers to validate an employee's serious health condition under the Family and Medical Leave Act (FMLA) and California Family Rights Act (CFRA). It includes sections for departmental administration, employee information, and detailed medical facts required from the health care provider. The form outlines the process for requesting leave, necessary medical certifications, and definitions of what constitutes a serious health condition.

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2009	4.8 Satisfied (100 Votes)

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