Schleswig Community School District uses the forms found on the United States Department of Labor website for Family and Medical Leave Act.
· WH-380-E Certification of Health Care Provider for Employee’s Serious Health Condition (PDF)
· WH-380-F Certification of Health Care Provider for Family Member’s Serious Health Condition (PDF)
· WH-381 Notice of Eligibility and Rights & Responsibilities (PDF)
· WH-382 Designation Notice (PDF)
Date Board Adopted 12/20/2010
Date Board Reviewed 2/14/2022