SECTION I EMPLOYER DOL https://www.dol.gov/sites/dolgov/files/WHD/legacy/files/WH-380-F.pdf Please complete and sign Section II before providing this form to your family member or your family member’s health care provider. The FMLA allows an employer to require that you submit a timely, complete, and sufficient medical certification to support a request for FMLA leave due to the serious health condition of your family member. Global Rank: 4,758 Pageviews: 93 M Top Country: US Site Status: Up Family And Medical Leave Act Employee Serious Health https://www.hrm.oa.pa.gov/Leave/forms/Documents/FMLA/cert-employee-serious-health-condition.pdf support a request for an absence that may qualify as FMLA leave due to your own serious health condition. … Continue reading FMLA Health Form