4321.2 form_6_2015.DOC
PERSONNEL SERVICES Form 4321.2
Absences, Leaves and Vacation
FMLA: Certification of Health Care Provider for Family Member’s Serious Health Condition
The FMLA Certification of Health Care Provider for Family Member’s Serious Health Condition Form WH-380-F Revised May 2015 is attached hereto. Copies may be made of the attached, or additional copies may be obtained from the U.S. Department of Labor, Wage and Hour Division.
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June, 2015 Copyright © 2015 Missouri Consultants for Education, Inc.
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