The U.S. Labor Department has updated its model forms and notices relating to Family and Medical Leave Act certification.
Except for a new expiration date — Feb. 28, 2015 — the new documents are identical to those that expired at the end of last year.
Here are links to the forms.
- WH-380-E Certification of Health Care Provider for Employee’s Serious Health Condition (PDF)
- WH-380-F Certification of Health Care Provider for Family Member’s Serious Health Condition (PDF)
- WH-381 Notice of Eligibility and Rights & Responsibilities (PDF)
- WH-382 Designation Notice (PDF)
- WH-384 Certification of Qualifying Exigency For Military Family Leave (PDF)
- WH-385 Certification for Serious Injury or Illness of Covered Servicemember — for Military Family Leave (PDF)
