J. J. Keller & Associates, Inc. FMLA Employee’s Serious Health Condition Certification Form, WH-380-E, Bilingual, 8.5" x 11", 4 Pages, Made in USA, 25-Pack

Ensure compliance with the Family and Medical Leave Act (FMLA) using the Employee’s Serious Health Condition Certification Form (WH-380-E). This official form is required when employees request leave for their own medical condition. Employers should provide this form to employees and require it to be completed and returned within 15 days, absent extenuating circumstances. This bilingual form includes English and Spanish text for accessibility and clarity. It consists of 4 pages and measures 8.5" x 11", making it easy to print, distribute, and store. The form captures essential information from both the employer and the health care provider to certify the employee’s serious health condition under FMLA guidelines. Made in the USA, this form helps organizations maintain compliance with federal regulations and streamline leave management processes. 25-Pack.

• FMLA Compliance: Official WH-380-E form for certifying employee’s serious health condition.
• Employee Leave Requests: Use when employees request leave for their own medical condition.
• Bilingual Format: Includes English and Spanish for clear communication.
• Convenient Size & 25-Pack: Measures 8.5" x 11" and includes 4 pages for complete documentation. 25 Pack.
• Made in USA: High-quality, accurate form for federal compliance.