
Get the free provides that an employer may require an employee seeking FMLA protections - nisec
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Certification of Health Care Provider for
Employee\'s Serious Health Condition
(Family and Medical Leave Act)
OMB Control Number: 12150181
Expires: 12×31/2011
SECTION I: For Completion by the EMPLOYER
INSTRUCTIONS
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How to fill out provides that an employer:
01
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05
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06
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Who needs provides that an employer:
01
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02
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03
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Remember, it is important to follow the specific instructions provided with the form and to consult with the employer or HR department if you have any questions or need guidance while filling out the form.
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