Notice to Employee of FMLA Designation (State, local, tribal)

The Family and Medical Leave Act of 1993, As Amended

OMB: 1235-0003

IC ID: 186899

Documents and Forms

Document Name Document Type
Form WH-382 Notice to Employee of FMLA Designation (State, local, tribal) Form and Instruction
Form WH-382 Notice to Employee of FMLA Designation (State, local, tribal) Form and Instruction
WH-382 Designation Notice under the Family and Medical Leave Act WH-382 02.05.20.docx www.dol.gov/whd/forms/WH-382.pdf Form and Instruction