Form WH-380-F Certification of Health Care Provider for Family Member's Serious Health Condition Under the Family and Medical Leave Act

Form WH-380-F Certification of Health Care Provider for Family Member's Serious Health Condition Under the Family and Medical Leave Act

What Is Form WH-380-F?

This is a legal form that was released by the U.S. Department of Labor - Wage and Hour Division on June 1, 2020 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on June 1, 2020;
  • The latest available edition released by the U.S. Department of Labor - Wage and Hour Division;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form WH-380-F by clicking the link below or browse more documents and templates provided by the U.S. Department of Labor - Wage and Hour Division.

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Download Form WH-380-F Certification of Health Care Provider for Family Member's Serious Health Condition Under the Family and Medical Leave Act

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  • Form WH-380-F Certification of Health Care Provider for Family Members Serious Health Condition Under the Family and Medical Leave Act, Page 1
  • Form WH-380-F Certification of Health Care Provider for Family Members Serious Health Condition Under the Family and Medical Leave Act, Page 2
  • Form WH-380-F Certification of Health Care Provider for Family Members Serious Health Condition Under the Family and Medical Leave Act, Page 3
  • Form WH-380-F Certification of Health Care Provider for Family Members Serious Health Condition Under the Family and Medical Leave Act, Page 4
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