CLEAN COPY DWC Form RFA - California Department of ...
Designation Notice (Family and Medical Leave Act) Wage and Hour Division. U.S. Department of Labor . OMB Control Number: 1235-0003. Expires: 8/31/2021. Leave covered under the Family and Medical Leave Act (FMLA) must be designated as FMLA-protected and the employer must inform the employee of … ................
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