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MODEL NOTICE G FMLA Designation NoticeDesignation Notice. S. Dept. of LaborFamily and Medical Leave Act OMB Control Number: 12150181 Expires: 12/31/2011Leave covered under the Family and Medical Leave

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The purpose of model notice g is to inform individuals about specific actions or events that may impact them.

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Model notice g must include relevant details about the actions or events being disclosed.

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