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Print Form CERTIFICATION OF HEALTH CARE PROVIDER FOR EMPLOYEE S SERIOUS HEALTH CONDITION Family and Medical Leave Act (FMLA) & California Family Rights Act (CFA) PURPOSE of FORM: The below-named employee
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Instructions to be given are directions or guidelines provided to someone in order to complete a task or project.
The person or entity responsible for giving the instructions is required to file them.
Instructions can be filled out by clearly outlining the steps or requirements needed to complete a task.
The purpose of instructions to be given is to ensure clarity and consistency in completing a task.
Instructions to be given must include relevant details, such as specific actions to be taken, deadlines, and any necessary resources.
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California FMLA CFRA episodic intermittently protections incapacity applicable indeterminate CERTIFICATION indefinite commenced intermittent qualifying specified incapacitated timely II Approximate UNDERLYING MAILING PROVIDER medically responses duration

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