This is a legal form that was released by the Alabama Department of Agriculture and Industries - a government authority operating within Alabama. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form WH-380-E?
A: Form WH-380-E is the Certification of Health Care Provider for Employee's Serious Health Condition under the Family and Medical Leave Act (FMLA).
Q: Who is this form for?
A: This form is for employees who need to provide certification of their own serious health condition to support their request for leave under FMLA.
Q: What is the purpose of Form WH-380-E?
A: The purpose of this form is to provide the employer with the necessary medical information to support the employee's request for FMLA leave.
Q: What information is required on Form WH-380-E?
A: The form requires the employee's personal information, the health care provider's information, details of the employee's medical condition, and the anticipated duration of the condition.
Q: How should I submit Form WH-380-E?
A: You should submit the completed form to your employer's HR department. Make sure to keep a copy for your records.
Form Details:
Download a printable version of Form WH-380-E by clicking the link below or browse more documents and templates provided by the Alabama Department of Agriculture and Industries.