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sample form employee cancer - for family and medical leave
This form must be completed by a Health Care Provider when FMLA leave is requested and medical documentation is required pursuant to 512.41,
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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
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WH-381 (.pdf)
You have a right under the FMLA to take unpaid, job-protected FMLA leave in a 12-month period for certain family and medical reasons, including up to 12 weeks
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