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CERTIFICATION OF HEALTH CARE PROVIDER FOR EMPLOYEES SERIOUS HEALTH CONDITION
(FAMILY AND MEDICAL LEAVE ACT)
OMB Control Number: 12150181
Form WH380E November 2008Section I: For Completion by the EMPLOYER
INSTRUCTIONS
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Job description attached outlines the responsibilities, duties, and requirements of a specific job position.
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Employers are required to file job description attached for each job position within their organization.
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