Changes to form WH-382, Designation Notice
General
Added color to WHD logo and section headers
Added, “Provide to employee,” to heading
Reorganized order of information and instructions provided
Added WHD FMLA website to opening information
Added line for employee’s name to every page
Added checkboxes to confirm information provided
Aligned text and checkboxes
Added date formatting prompts
Bolded selected text for emphasis
Rephrasing for plain language, and changes to language to be consistent form to form
Section I- Designation Notice
Added line for employer name
Added reason for leave checkbox options
Moved leave is approved or not approved options to first section
Under not approved, added information to you do not have any FMLA leave available option
Under not approved, added other option
Added instruction to go to appropriate section if additional information is needed or request is approved and no additional information is needed
Section II- Additional Information Needed
Added who to contact information
Added subsection headers
Added definitions for incomplete or insufficient certification
Section II – Second and Third Opinions
Added information about authorization
Section III – FMLA Leave Approved
Added introductory information
Moved schedule information from first section
Moved use of paid leave information from first section
Added options and examples to use of paid leave information
Added information to fitness-for-duty certification option
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| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Amore, Jennifer - WHD |
| File Modified | 0000-00-00 |
| File Created | 2021-01-14 |