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This version of the form is not currently in use and is provided for reference only. Download this version of
Form HFLL-1
for the current year.
Form HFLL-1 Optional Form for Certification of a Serious Health Condition by a Health Care Provider - Hawaii
What Is Form HFLL-1?
This is a legal form that was released by the Hawaii Department of Labor & Industrial Relations - a government authority operating within Hawaii. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the purpose of Form HFLL-1?
A: Form HFLL-1 is used for certifying a serious health condition in Hawaii.
Q: Who can complete Form HFLL-1?
A: A health care provider can complete Form HFLL-1.
Q: What type of health condition can be certified using Form HFLL-1?
A: Form HFLL-1 can certify a serious health condition.
Q: Is Form HFLL-1 mandatory?
A: Yes, Form HFLL-1 is a mandatory form for certifying a serious health condition in Hawaii.
Form Details:
- Released on January 1, 2013;
- The latest edition provided by the Hawaii Department of Labor & Industrial Relations;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form HFLL-1 by clicking the link below or browse more documents and templates provided by the Hawaii Department of Labor & Industrial Relations.
Download Form HFLL-1 Optional Form for Certification of a Serious Health Condition by a Health Care Provider - Hawaii
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