Form WH-380-E Certification of Health Care Provider for Employee's Serious Health Condition (Family and Medical Leave Act) - Alabama

Form WH-380-E Certification of Health Care Provider for Employee's Serious Health Condition (Family and Medical Leave Act) - Alabama

What Is Form WH-380-E?

This is a legal form that was released by the Alabama Department of Agriculture and Industries - a government authority operating within Alabama. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form WH-380-E?
A: Form WH-380-E is the Certification of Health Care Provider for Employee's Serious Health Condition under the Family and Medical Leave Act (FMLA).

Q: Who is this form for?
A: This form is for employees who need to provide certification of their own serious health condition to support their request for leave under FMLA.

Q: What is the purpose of Form WH-380-E?
A: The purpose of this form is to provide the employer with the necessary medical information to support the employee's request for FMLA leave.

Q: What information is required on Form WH-380-E?
A: The form requires the employee's personal information, the health care provider's information, details of the employee's medical condition, and the anticipated duration of the condition.

Q: How should I submit Form WH-380-E?
A: You should submit the completed form to your employer's HR department. Make sure to keep a copy for your records.

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Form Details:

  • Released on May 1, 2015;
  • The latest edition provided by the Alabama Department of Agriculture and Industries;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of Form WH-380-E by clicking the link below or browse more documents and templates provided by the Alabama Department of Agriculture and Industries.

Download Form WH-380-E Certification of Health Care Provider for Employee's Serious Health Condition (Family and Medical Leave Act) - Alabama

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  • Form WH-380-E Certification of Health Care Provider for Employee's Serious Health Condition (Family and Medical Leave Act) - Alabama

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  • Form WH-380-E Certification of Health Care Provider for Employees Serious Health Condition (Family and Medical Leave Act) - Alabama, Page 1
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  • Form WH-380-E Certification of Health Care Provider for Employees Serious Health Condition (Family and Medical Leave Act) - Alabama, Page 3
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