Notice to Employee of FMLA Eligibility and Rights & Responsibilities (State, local, tribal)

The Family and Medical Leave Act of 1993, As Amended

OMB: 1235-0003

IC ID: 186913

Documents and Forms

Document Name Document Type
Form WH-381 Notice to Employee of FMLA Eligibility and Rights & Responsibilities (State, local, tribal) Form and Instruction
Form WH-381 Notice to Employee of FMLA Eligibility and Rights & Responsibilities (State, local, tribal) Form and Instruction
WH-381 Notice of Eligibility & Rights and Responsibilities under the Family and Medical Leave Act WH-381 02.06.20.docx www.dol.gov/whd/forms/WH-381.pdf Form and Instruction