Sick Leave Bank/FMLA-Certification of Health Care Provider

Certification of Health Care Provider is required when an applicaion for Sick Leave Bank Days is made.

The same form is used for FMLA (for an Employee's Serious Health Condition.)

The web link for the Department of Labor's form is: http://www.dol.gov/whd/forms/WH-380-E.pdf

(Completion of this form for Sick Leave Bank purposes does not automatically qualify an employee for FMLA.)

FMLA information is found under separate headings on this site.

, ; (Last Modified about a minute ago)