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FMLA Certification Forms




Please click on the link below to be directed to the U.S. Department of Labor – Wage and Hour Division website for the following FMLA certification forms:

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

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

WH-384 Certification of Qualifying Exigency For Military Family Leave

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

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

 

U.S. Department of Labor – Wage and Hour Division – FMLA Forms


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