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Notice of Eligibility and Rights & Responsibilities (Family and Medical Leave Act)U.S. Department of Labor Employment Standards Administration Wage and Hour DivisionOMB Control Number: 12150181 Expires:
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How to fill out 2009 form dol wh-381

01
Download the 2009 form DOL WH-381 from the Department of Labor website.
02
Fill in personal information such as name, address, and contact information.
03
Provide details about the reason for requesting leave under the Family and Medical Leave Act.
04
Sign and date the form before submitting it to your employer.

Who needs 2009 form dol wh-381?

01
Employees who are requesting leave under the Family and Medical Leave Act.
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Form DOL WH-381 is used to request a leave under the Family and Medical Leave Act (FMLA) and to certify the need for such leave.
Employees seeking FMLA leave must file Form DOL WH-381 with their employer to request and certify their eligibility for the leave.
To fill out Form DOL WH-381, provide the necessary personal information, indicate the reason for the leave, and have a healthcare provider complete the certification section if applicable.
The purpose of Form DOL WH-381 is to document the request for FMLA leave and to ensure that the employer has the necessary information to evaluate the leave request.
The form requires information such as the employee's details, the reason for leave, dates of leave, and any medical certification needed to validate the request.
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