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Click ‘Get Form’ to open the USPS FMLA printable form in the editor.
Begin by entering the employee’s name at the top of the form. Ensure accuracy as this information is crucial for processing.
In the section describing the serious health condition, refer to the back of the form for definitions. Check the applicable category that matches the employee's condition.
Provide a detailed description of medical facts and treatments related to the checked category. This should include any relevant information that supports the need for leave.
Fill in dates regarding when the condition commenced and its probable duration. Be specific to avoid delays in processing.
Indicate whether intermittent leave is required and provide estimates for treatment dates and recovery periods, ensuring clarity on frequency and duration.
Complete all remaining fields, including health care provider details, ensuring all signatures are obtained before submission.
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Online Fillable WH-347 Form. WH-380-E: FMLA Certification of Health Care Provider for Employees Serious Health Condition. WH-380-E (PDF) WH-380-E SpanishRead more
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