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Theres nothing for you to fill out yourself, but if your employer uses this form to ask for additional information to determine whether your leave request is valid, youll need to take steps to provide that information.
Because of doctors workloads and the inability in many situations to render a precise prognosis about the frequency and duration of a condition, it can be a challenge when they have to complete patients FMLA request forms.
FMLA: Forms Employees serious health condition, form WH-380-E - Use when a leave request is due to the medical condition of the employee. Family members serious health condition, form WH-380-F - Use when a leave request is due to the medical condition of the employees family member.
While use of this form is optional, a fully completed Form WH- 381 provides employees with the information required by 29 C.F.R. 825.300(b), (c) which must be provided within five business days of the employee notifying the employer of the need for FMLA leave.
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