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Certification of Health Care Provider for Family Members Serious Health Condition (Family and Medical Leave Act) U.S. Department of Labor Wage and Hour Division OMB Control Number: 12350003 Expires:
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What is family hcp - la?
Family hcp - la stands for Family Health Care Provider - Los Angeles, which is a form used to designate a health care provider for family members.
Who is required to file family hcp - la?
Employees who wish to designate a health care provider for their family members are required to file family hcp - la form.
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Family hcp - la form can be filled out by providing the necessary information about the designated health care provider and signing the form.
What is the purpose of family hcp - la?
The purpose of family hcp - la is to allow employees to designate a health care provider for their family members for medical treatment purposes.
What information must be reported on family hcp - la?
The information that must be reported on family hcp - la includes the name and contact information of the designated health care provider.
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