Adjunct Law Prof Blog

Editor: Mitchell H. Rubinstein
New York Law School

Monday, May 7, 2012

DOL Issues New FMLA Forms

The DOL has updated several FMLA forms. The forms that have been updated are as follows:

  • WH-380-E: Certification of Health Care Provider for Employee’s Serious Health Condition
  • WH-380-F: Certification of Health Care Provider for Family Member’s Serious Health Condition
  • WH-381: Notice of Eligibility and Rights & Responsibilities
  • WH-382: Designation Notice
  • WH-384: Certification of Qualifying Exigency For Military Family Leave
  • WH-385: Certification for Serious Injury or Illness of Covered Servicemember — for Military Family Leave

For more information, check out the DOL’s website.

Mitchell H. Rubinstein

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