FMLA

New and Updated

• Type:

  Letters and Forms

  Request for Additional Information for FMLA Military Exigency Leave Letter

  This letter may be used to inform an employee that the previously supplied information was not sufficient and additional information is required before determining if the employee qualifies for military exigency leave under the Family and Medical Leave Act (FMLA).

• Type:

  Letters and Forms

  WH-380-E Certification of Health Care Provider for Employee's Serious Health Condition Form

  According to the Wage and Hour Division of the Department of Labor, an employer may use this form when requiring an employee seeking FMLA protections, because of a need for leave due to the employee's serious health condition, to submit a medical certification issued by the employee's health care provider.

• Type:

  Letters and Forms

  WH-385 Certification for Serious Injury or Illness of Current Servicemember for Military Family Leave Form

  According to the Wage and Hour Division of the Department of Labor, an employer may use this form when requiring an employee seeking military caregiver leave under FMLA, due to a serious injury or illness of a current servicemember, to submit a certification providing sufficient facts to support the request for leave.

• Type:

  Letters and Forms

  WH-380-F Certification of Health Care Provider for Family Member's Serious Health Condition Form

  According to the Wage and Hour Division of the Department of Labor, an employer may use this form when requiring an employee seeking FMLA protections, because of a need for leave to care for a covered family member with a serious health condition, to submit a medical certification issued by the health care provider of the covered family member.

• Type:

  Letters and Forms

  WH-381 Notice of Eligibility and Rights & Responsibilities Form

  According to the Wage and Hour Division of the Department of Labor, to be eligible for FMLA leave, an employee must have worked for an employer for at least 12 months, meet the hours of service requirement in the 12 months preceding the leave, and work at a site with at least 50 employees within 75 miles.

• Type:

  Letters and Forms

  WH-384 Certification of Qualifying Exigency For Military Family Leave Form

  According to the Wage and Hour Division of the Department of Labor, an employer may use this form when requiring an employee seeking FMLA leave due to a qualifying exigency to submit a certification.

• Type:

  Letters and Forms

  WH-382 Designation Notice Form

  According to the Wage and Hour Division of the Department of Labor, an employer may use this form when requiring a certification in support of an employee's request for FMLA leave.

• Type:

  Letters and Forms

  WH-385-V Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave Form

  According to the Wage and Hour Division of the Department of Labor, an employer may use this form when requiring an employee seeking military caregiver leave under the FMLA, due to a serious injury or illness of a covered veteran, to submit a certification providing sufficient facts to support the request for leave.

• Type:

  Legal Timetable

  DOL Budget Initiatives for 2013

• Type:

  Letters and Forms

  HIPAA Authorization for Release of Information to Employer for Family Medical Leave Act (FMLA) Purposes Only

  An employer may use this form to obtain release from an employee to contact the employee's health care provider in circumstances where the FMLA permits. This form will ensure that employers remain compliant with the Health Insurance Portability and Accountability Act (HIPAA).