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ComplyRight FMLA Medical Certification (Family Member):
ComplyRight FMLA Medical Certification (Family Member)
Item #: A0424
The FMLA Medical Certification (Family Member) should be completed primarily by a healthcare provider to verify employee's need for FMLA leave to care for a family member with a serious health condition.
Per Box

Product Details
  • Size: 17” x 11” folded to 8 ½” x 11”
  • 10 Sheets/Box