1WH 380E https://hr.floyd.org/wp-content/uploads/2020/10/EE-Certification-of-Health-Care-Provider-FMLA.pdf D None of the above: If none of the above condition(s) were checked, (i.e., inpatient care, pregnancy) no additional information is needed. Go to page 4 …
Southern University System https://www.sus.edu/assets/sus/Human_Resources/Downloadable_Forms/Federal_Family_Medical_Leave_Act/fmla_form_selection.pdf Certification Forms *WH-380-E Employee’s Own Serious Illness *WH–380-F Illness of Employee’s Family Member *WH-384 Certification of Qualifying Exigency for Military Family Leave *WH-385 Certification for …