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CONTINUED ON NEXT PAGE. Form WH-380-F Revised May 2015. DO NOT SEND COMPLETED FORM TO THE DEPARTMENT OF LABOR; RETURN TO THE .

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Related content

WH-380-F - US Department of Labor
The Family and Medical Leave Act (FMLA) provides that an employer may require an employee...
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WH-380-F - US Department of Labor
The Family and Medical Leave Act (FMLA) provides that an employer may require an employee...
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Employer's Guide To The Family And Medical Leave...
WH-380-E, Certification of Health Care Provider for Employee's Serious Health Condition;...
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A chronic condition whether physical or mental (e.g., rheumatoid arthritis, anxiety, dissociative disorders) that may cause occasional periods when an individual is unable to work is a qualifying serious health condition if it requires treatment by a health care provider at least twice a year and recurs over an ...

Employee's serious health condition, form WH-380-E – use when a leave request is due to the medical condition of the employee. Family member's serious health condition, form WH-380-F – use when a leave request is due to the medical condition of the employee's family member.

You aren't required to disclose your medical condition to your boss, says Kim Francis, a human resources specialist at UW Medicine. If you'd prefer not to, you can instead get your HR department involved.

Anemia can be a disabling condition, particularly if it is severe. If you have anemia and are unable to work, you may qualify for Social Security disability benefits. To qualify for benefits, you will need to meet the SSA's definition of disabled.

Serious health condition means an illness, injury, impairment, or physical or mental condition which requires: Overnight hospitalization (including prenatal care), including the period of incapacity or subsequent treatment in connection with the overnight care.

What to do if you have anemia. If your red blood cell count is low, you should: Save your energy. Rest when you are tired.

Anemia can lead to a rapid or irregular heartbeat (arrhythmia). When you're anemic your heart pumps more blood to make up for the lack of oxygen in the blood. This can lead to an enlarged heart or heart failure. Death.

Now there isn't a specific listing that covers anemia, but if it causes ongoing complications, such as shortness of breath and severe fatigue, you may be able to use Listing 7.18 of the Blue Book to qualify for disability benefits. Listing 7.18 is for repeated complications from hematological conditions.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232