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Get FMLA Leave A5-121-0408

______________________________ PART 2: TO BE COMPLETED BY EMPLOYEE’S HEALTH CARE PROVIDER I certify that on _________________, ___________________________________________ , is able to resume (Date) (Name of Employee) performing the functions of his/her position with or without reasonable accommodation. Healthcare Provider Signature: ______________________________ Date: ______________________________ © 2008 ADP Resource A5-121-0408 .

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  • healthcare
  • accommodation
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