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FMLA Employee’s Serious Health Condition – Certification Form WH-380-E, Bilingual (020010)
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FMLA Employee’s Serious Health Condition – Certification Form WH-380-E, Bilingual

Use when employees request leave for their own medical condition. Read more.

Product Code: 73591
List Price: $1.34

Overview

  • Use when employees request leave request for their own medical condition
  • Give it to employees to have completed and returned within 15 days absent extenuating circumstances
  • 4 pages
  • English and Spanish
  • Measures 8.5” x 11”
  • Made in the USA

Volume Pricing

Volume Pricing
Product Code Description 1 - 24 25 - 49 50 - 99
Higher quantities available. Pricing reflected in shopping cart or call 1-877-564-2333 to order.
73591
FMLA Employee’s Serious Health Condition – Certification Form WH-380-E
$1.34
$1.29
$1.24

Specification

Specification
Product Code Description Country Of Origin Format Language Size
73591
FMLA Employee’s Serious Health Condition – Certification Form WH-380-E
USA
Sheet
English & Spanish
8.5” x 11”

Product Questions & Answers

Product Reviews