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Healthcarehigh confidence

FMLADocs fax number

(628) 277-4724

Used for: FMLA certification submission and processing; employer-ready FMLA documentation

Fax destination details

Purpose
FMLA certification submission and processing; employer-ready FMLA documentation
Form
WH-380-E; WH-380-F — Certification of Health Care Provider for Employee’s Serious Health Condition (WH-380-E); Certification of Health Care Provider for Family Member’s Serious Health Condition (WH-380-F)
Voice phone
+1 628-277-4724

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  • Include a cover sheet and any case, member, claim, or form reference required.
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Refer to the official U.S. Department of Labor FMLA WH-380-E/W H-380-F instructions for completing and submitting the forms.

Review official form instructions

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