Employee Certifications (Serious Health Condition, Recertification, Fitness-for-Duty; Call to Military Active Duty; Qualifying Exigency Due o Call to Military Active Duty; Servicemember Illness/Injuy

The Family and Medical Leave Act of 1993, As Amended

OMB: 1235-0003

IC ID: 13897

Documents and Forms

Document Name Document Type
Form WH-385 Employee Certifications (Serious Health Condition, Recertification, Fitness-for-Duty; Call to Military Active Duty; Qualifying Exigency Due o Call to Military Active Duty; Servicemember Illness/Injuy Form and Instruction
Form WH-385 Employee Certifications (Serious Health Condition, Recertification, Fitness-for-Duty; Call to Military Active Duty; Qualifying Exigency Due o Call to Military Active Duty; Servicemember Illness/Injuy Form and Instruction
WH-385 Certification for Serious Injury or Illness of a Current Servicemember for Military Caregiver Leave under the Family and Medical Leave Act WH-385 02.06.20.docx www.dol.gov/whd/forms/WH-385.pdf Form and Instruction
WH-385-V Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave under the Family and Medical Leave Act WH-385-V 02.06.20.docx www.dol.gov/whd/forms/wh385v.pdf Form and Instruction
WH-384 Certification for Military Family Leave for Qualifying Exigency under the Family and Medical Leave Act WH-384 02.06.20.docx www.dol.gov/whd/forms/WH-384.pdf Form and Instruction
WH-380-E Certification of Health Care Provider for Employee's Serious Health Condition under the Family and Medical Leave Act WH-380-E.pdf www.dol.gov/agencies/whd/fmla Form and Instruction
WH-380-F Certification of Health Care Provider for Family Member's Serious Health Condition under the Family and Medical Leave Act WH-380-F.pdf www.dol.gov/sites/dolgov/files/WHD/legacy/files/WH-380-F.pdf Form and Instruction