WH-385-V Summary of Edits

Changes to form WH-385-V, Military Caregiver Leave for Veterans

General

1. Added color to WHD logo and section headers

2. Reorganized order of information and instructions provided

3. Added line for employee’s name to every page

4. Changed questions to statements to be confirmed by checking a box

5. Aligned text and checkboxes

6. Shortened section titles

7. Added date formatting prompts

8. Renumbered items

9. Bolded selected text for emphasis

10. Removed excess blank lines

11. Rephrasing for plain language, and changes to language to be consistent form to form

Section I: Employer

12. Created new section for employer information

13. Added instruction that either the employer or employee may complete the section

14. Added information about administrative delays to providing the certification

15. Added date line and return by date

16. Added at least 15 calendar days instruction to due date request

Section II: Employee and/or Veteran

Part A: Employee Information

17. Added checkbox options for family relationship

18. Added definitions of spouse, in loco parentis, and next of kin

Part B: Veteran Information and Care to be Provided to the Veteran

19. Added checkbox options for the care the employee will provide the family member

20. Added option for reduced work schedule information

Section III: Health Care Provider

21. Added instruction to print the health care provider’s name

22. Added checkboxes to identify the type of health care provider

Part A: Medical Information

23. Added line for patient’s name

24. Added checkbox options for injury or illness

Part B: Amount of Leave Needed

25. Changed format, need for care for a continuous period of time

26. Changed format, duration of planned treatment and recovery

27. Changed format, need for care on an intermittent basis

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