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DOL Issues Updated FMLA Forms

The Department of Labor (DOL) released new Family and Medical Leave Act (FMLA) forms, On July 16, 2020. These new forms can be used to comply with many technical nuances of FMLA, but, like prior versions, are completely voluntary.

Please reference the below chart to download the new forms:

WH-380-E Certification of Health Care Provider for Employee’s Serious Health Condition

Download

WH-380-F Certification of Health Care Provider for Family Member’s Serious Health Condition

Download

WH-381 Notice of Eligibility & Rights and Responsibilities

Download

WH-382 Designation Notice

Download

WH-384 Certification of Qualifying Exigency for Military Family Leave

Download

WH-385 Certification for Serious Injury or Illness of Covered Servicemember for Military Caregiver Leave

Download

WH-385V Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave

Download


The revisions to the forms were made in an effort to make them easier to understand, eliminate unnecessary questions, and reduce the administrative burden on both providers and employers. While employers are still free to use the old forms, they are cautioned not to ask for any information other than what is specified in FMLA regulations

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2024