FMLA Forms and Poster

Click below for the U.S. Department of Labor Family and Medical Leave Act (FMLA) certification forms and poster:

• Notice of Eligibility and Rights & Responsibilities (WH-381)
• Certification of Health Care Provider for Employee's Serious Health Condition (WH-380-E)
• Certification of Health Care Provider for Family Member's Serious Health Condition (WH-380-F)
• Certification of Qualifying Exigency for Military Family Leave (WH-384)
• Certification for Serious Injury or Illness of Current Servicemember for Military Family Leave (WH-385)
• Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave (WH-385-V)
• Designation Notice (WH-382)
• FMLA Poster (WHD 1420 February 2013)

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