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Certification of Health Care Provider for Employees Serious Health Condition (Family and Medical Leave Act)U.S. Department of Labor Wage and Hour Division DO NOT SEND COMPLETED FORM TO THE DEPARTMENT

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Dobbs Ferry Union Free School District is a public school district in New York, serving students from kindergarten through 12th grade.

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The purpose of the Dobbs Ferry Union Free School District is to provide quality education to students within the district boundaries.

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Information such as student demographics, contact information, health records, and academic progress must be reported to the Dobbs Ferry Union Free School District.

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