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Document Number: ERD-10111
Description: This form should be used by employers to assist
in establishing leave entitlement under Wisconsin' Family and
Medical Leave Law.
Division: Equal Rights
Comments: This form may be reproduced by employers.
Content Contact: Equal Rights Information
Document Attachment:
ERD-10111
***Should you require the necessary software to view the above
attachment, please go to the DWD Viewers Download
Page. Links to each specific vendor's site have been
provided for you. Thank you.
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