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FMLA: Forms | U.S. Department of Labor - DOL

    https://www.dol.gov/agencies/whd/fmla/forms
    An employee can provide the required information contained on a certification form in any format, such as on the letterhead of the healthcare provider, or official documentation issued by the military. Please do not send any completed certification forms to the U.S. Department of Labor, Wage and Hour Divi… See more

Certification of Health Care Provider for U.S.

    https://www.dol.gov/sites/dolgov/files/WHD/legacy/files/WH-380-E.pdf
    The FMLA allows an employer to require that the employee submit a timely, complete, and sufficient medical certification to support a request for FMLA leave due to the serious …

Family and Medical Leave Act Certification of a Serious …

    https://www.dol.gov/agencies/whd/fmla/certification-of-a-serious-health-condition
    What a Certification Must Include If your patient is seeking FMLA leave, a complete and sufficient certification includes: Contact information of the health care provider, including …

Family and Medical Leave Act | U.S.

    https://www.dol.gov/agencies/whd/fmla
    The FMLA entitles eligible employees of covered employers to take unpaid, job-protected leave for specified family and medical reasons with continuation of group health …

Fact Sheet #28G: Certification of a Serious Health …

    https://www.dol.gov/agencies/whd/fact-sheets/28g-fmla-serious-health-condition
    The Family and Medical Leave Act (FMLA) entitles eligible employees who work for covered employers to take unpaid, job-protected leave for specified family and medical …

Forms | U.S. Department of Labor - DOL

    https://www.dol.gov/agencies/whd/forms
    WH-384 : FMLA Certification of Qualifying Exigency For Military Family Leave. WH-384 Form & Instruction; WH-385: FMLA Certification for Serious Injury or Illness of Covered …

FMLA Frequently Asked Questions | U.S. Department of …

    https://www.dol.gov/agencies/whd/fmla/faq
    The Family and Medical Leave Act (FMLA) provides eligible employees up to 12 workweeks of unpaid leave a year, and requires group health benefits to be maintained during the …

Fact Sheet #28G: Certification of a Serious Health …

    https://www.dol.gov/sites/dolgov/files/WHD/legacy/files/whdfs28g.pdf
    Employers must accept a complete and sufficient medical certification, regardless of the format. In all instances, the information requested on the certification form must relate …

A Guide to the New FMLA Forms - SHRM

    https://www.shrm.org/resourcesandtools/legal-and-compliance/employment-law/pages/guide-new-fmla-forms.aspx
    The Department of Labor revised Family and Medical Leave Act (FMLA) forms this summer, resulting in extensive changes that require more specific information …

elaws - Family and Medical Leave Act Advisor - DOL

    https://webapps.dol.gov/elaws/whd/fmla/12a2.aspx
    DOL has developed two optional forms ( WH-380E and WH-380F) for employees or their family members to use in obtaining medical certification, including second and third …



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