Certification for Serious Injury or Illness of a Current Servicemember - for Military Family Leave - Family and Medical Leave Act

Use this form when an employee requests leave to care for a close family member or next of kin who has a serious injury or illness relating to current military service. California employers - note especially the stated limitations relating to medical information as this information is confidential and protected in California.​ 
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    ​To access this pre​mium form, try HRCalifornia.

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