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3 Jun 2015 The primary revision appears to be to the Health Care Provider Certification forms, which request specific information from the employee's (or
 FMLA: Forms. Forms. WH-380-E Certification of Health Care Provider for (PDF); WH-381 Notice of Eligibility and Rights & Responsibilities (PDF); WH-382
 Pennsylvania Leave of Absence (FMLA) federal, national and state compliance resources - regulations, laws, and state-specific analysis for employers and HR
 Do you have prior service with the University of Pennsylvania? FMLA (Family/Medical Leave) I am requesting FMLA Leave of Absence for one or more of the
 FMLA/SPF Absence is a paid or unpaid absence from work with benefits due to the FMLA/SPF Coordinator to determine eligibility before printing the forms.
 While you are not required to use this form, you may not ask the employee to support a request for FMLA leave due to your own serious health condition.
 Detailed FMLA regulations that help you avoid FMLA abuse and FMLA violation, FMLA guidelines about FMLA forms and other FMLA paperwork, FMLA for
 Family and Medical Leave Act (FMLA) Request Form. To be completed by employee. Employee's Name. Department. Phone Number. Job Title. Employee ID.
 Please complete Section I before giving this form to your employee. Your response sufficient medical certification may result in a denial of your FMLA request.
 FMLA Forms & Resources Medical Certification Form for Employee's Serious Health Condition Notice of Eligibility and Rights & Responsibilities (WH-381).
     
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