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UNIVERSITY OF WISCONSINMADISON CERTIFICATION OF FAMILY AND MEDICAL LEAVE FOR EMPLOYEES SERIOUS HEALTH CONDITIONSECTION I: For Completion by the EMPLOYEEEmployees Name: Job Title:Department/Unit: Name
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What is SECTION I: For Completion by the EMPLOYEE Form?

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SECTION I: For Completion by the EMPLOYEE template instructions

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Section i for completion is a part of the form that requires specific information to be provided.
Employers are required to file section i for completion for their employees.
Section i for completion should be filled out with accurate and up-to-date information about the employee.
The purpose of section i for completion is to verify the identity and eligibility of the employee to work in the country.
Personal information such as name, address, date of birth, and citizenship must be reported on section i for completion.
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