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Certification of Health Care Provider for Employees Serious Health Condition under the Family and Medical Leave Act. S. Department of Labor Wage and Hour Division DO NOT SEND COMPLETED FORM TO THE
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What is if form employee fails?
The form must be corrected and resubmitted by the employer.
Who is required to file if form employee fails?
Employers are required to file the form.
How to fill out if form employee fails?
The form must be filled out accurately and completely by the employer.
What is the purpose of if form employee fails?
The purpose of the form is to report information about employees.
What information must be reported on if form employee fails?
Information such as employee wages, benefits, and taxes withheld must be reported on the form.
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