skip to content
Primary navigation

FMLA Forms


Documents


  • Certification of Health Care Provider for Employee's Serious Health Condition

DOL WHD-380E


  • Certification of Health Care Provider for Family Member's Serious Health Condition

DOL WHD-380F


  • Notice of Eligibility & Rights & Responsibilities

DOL WHD-381


  • Designation Notice

DOL WHD-382


  • Certification of Qualifying Exigency for Military Family Leave

DOL WHD-384


  • Certification for Serious Injury or Illness of Covered Service Member for Military Family Leave

DOL WHD-385

back to top