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Notice of Eligibility & Rights and Responsibilities under the Family and Medical Leave Act. S. Department of Labor Wage and Hour Division DO NOT SEND TO THE DEPARTMENT OF LABOR. PROVIDE TO EMPLOYEE.OMB
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Section inotice of eligibility is a form used to certify eligibility for a certain benefit or program.
Individuals or entities who wish to apply for a specific benefit or program are required to file section inotice of eligibility.
Section inotice of eligibility can be filled out by providing information about the applicant's eligibility criteria and supporting documents.
The purpose of section inotice of eligibility is to determine if an individual or entity meets the requirements for a certain benefit or program.
Section inotice of eligibility may require basic personal information, financial details, and other relevant documentation.
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