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Certification for Serious Injury or Illness of a Current Service member for Military Family Leave (Family and Medical Leave Act)U.S. Department of Labor Wage and Hour Division___ DO NOT SEND COMPLETED
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The hrcaliforniacalchambercom/forms-tools/forms/certification form for serious injury is a document used to report serious injuries that occur in the workplace.
Employers are required to file the hrcaliforniacalchambercom/forms-tools/forms/certification for serious injury when a serious injury occurs at the workplace.
To fill out the hrcaliforniacalchambercom/forms-tools/forms/certification for serious injury, employers need to provide detailed information about the injury, the employee involved, and the circumstances surrounding the incident.
The purpose of the hrcaliforniacalchambercom/forms-tools/forms/certification for serious injury is to ensure that all serious workplace injuries are properly documented and reported to the appropriate authorities.
The hrcaliforniacalchambercom/forms-tools/forms/certification for serious injury must include information about the injured employee, the nature of the injury, the date and time of the incident, and any witnesses to the incident.
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