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WH-380-F
Certification of Health Care Provider for Family Member's Serious Health Condition (FMLA)
WH-380-F — Certification of Health Care Provider for Family Member's Serious Health Condition (FMLA)
DOL (United States)
2025 edition
federal · United States
Fillable PDF · Free to download and print · Available
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WH-380-F (Certification of Health Care Provider for Family Member's Serious Health Condition (FMLA)) is typically required by individuals or organizations dealing with DOL in federal jurisdiction. This employment form is commonly used for official filings, applications, or compliance purposes.
Individuals who need to file or apply with DOL
Businesses and organizations with employment obligations
Tax professionals, accountants, and legal representatives filing on behalf of clients
Anyone required to submit WH-380-F as part of a regulatory or compliance process
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