Department of Labor Publishes Revised FMLA Forms

The Department of Labor ("DOL") has published updates of its existing FMLA forms.  The previous version of the forms expired on 12/31/11.  The updated forms expire on 2/28/15.  It is recommended that these DOL-approved forms be used in administering FMLA leaves.  The forms (listed below) can be found at  webapps.dol.gov/libraryforms/FormsByTitle.asp :

  • Certification for Serious Injury or Illness of Covered Servicemember — for Military Family Leave (WH-385)
  • Certification of Health Care Provider for Employee's Serious Health Condition (WH-380-E)
  • Certification of Health Care Provider for Family Member's Serious Health Condition (WH-380-F)
  • Certification of Qualifying Exigency for Military Family Leave (WH-384)
  • Notice of Eligibility and Rights & Responsibilities (WH-381)
  • Designation Notice (WH-382)