Form 380 E - Web instructions to the employee: It is used to document. Certification of health care provider for employee's serious health. Department of labor wage and hour division certification of health care. Certification of health care provider (pdf) certification of health care. Web family medical leave act (fmla) forms. Please complete section ii before giving this form to your medical provider.
Web instructions to the employee: Web family medical leave act (fmla) forms. Certification of health care provider (pdf) certification of health care. It is used to document. Certification of health care provider for employee's serious health. Please complete section ii before giving this form to your medical provider. Department of labor wage and hour division certification of health care.