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J. J. Keller protects people and the businesses they run. You can trust our expertise across a wide range of subjects relating to labor, transportation, environmental, and worker safety. Our deep knowledge of federal and state agencies is built on a strong foundation of more than 100 editors and consultants and 70+ years of regulatory compliance experience.

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J. J. Keller protects people and the businesses they run. You can trust our expertise across a wide range of subjects relating to labor, transportation, environmental, and worker safety. Our deep knowledge of federal and state agencies is built on a strong foundation of more than 100 editors and consultants and 70+ years of regulatory compliance experience.

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FMLA Designation Notice Under the Family and Medical Leave Act Form, WH-382 - English, 8-1/2" W x 11" L Main Image

FMLA Designation Notice Under the Family and Medical Leave Act Form, WH-382 - English, 8-1/2" W x 11" L

Informs the employee whether the FMLA leave request is approved.

Product Code:73597
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  • Informs employees whether their leave is designated as FMLA leave.
  • Employers must provide this information to employees within five days of determining if the leave qualifies for FMLA protections.
  • Employers may also use this form to inform employees that their certification is incomplete or insufficient and additional information is needed.
  • 1 page, 2-sided
  • English only
  • Measures 8.5” x 11”
  • Made in the USA

Advantage Savings: Advantage Savings

Compliance Topic: DOT and Driver Training, Driver Qualification & Hiring, Family and Medical Leave Act (FMLA)

Size: 8.5" x 11"

Sold As: 1 Page, 2-Sided