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

Ensure compliance with the Family and Medical Leave Act (FMLA) using the official WH-380-F Certification of Health Care Provider for a Family Member’s Serious Health Condition form. This form is required when employees request leave to care for a family member with a serious health condition, including a spouse, child, or parent. Employers should provide this form to employees and require it to be completed and returned within 15 days, absent extenuating circumstances. The bilingual format includes English and Spanish for accessibility and clarity, and the form consists of four pages measuring 8.5" x 11" for easy printing and storage. Made in the USA, this form captures essential information from the employer, employee, and health care provider to certify the family member’s condition under FMLA guidelines, helping organizations maintain compliance and streamline leave management processes. 25-Pack.

• FMLA Compliance: Official WH-380-F form for certifying family member’s serious health condition.
• Employee Leave Requests: Use when employees request leave to care for a spouse, child, or parent.
• 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.