It’s hard for employers to keep up with anything other than COVID-19 compliance guidelines these days, so it may have flown under your radar that in June 2020, the Department of Labor (DOL) revised several of its forms to help employers manage leave under the Family Medical Leave Act (FMLA). While these forms may be used at the option of the employer, the DOL has conveniently crafted them to comply with the FMLA and made them electronically fillable PDFs that can be saved electronically.
Here are links to those forms found on the DOL’s site.
Certification of Healthcare Provider for a Serious Health Condition
- Employee’s serious health condition, form WH-380-E– use when a leave request is due to the medical condition of the employee.
- Family member’s serious health condition, form WH-380-F– use when a leave request is due to the medical condition of the employee’s family member.
Certification of Military Family Leave
- Qualifying Exigency, form WH-384– use when the leave request arises out of the foreign deployment of the employee’s spouse, son, daughter, or parent.
- Military Caregiver Leave of a Current Servicemember, form WH-385– use when requesting leave to care for a family member who is a current service member with a serious injury or illness.
- Military Caregiver Leave of a Veteran, form WH-385-V– use when requesting leave to care for a family member is who a covered veteran with a serious injury or illness.
If you have employees requesting paid leave under the expanded FMLA leave pursuant to the Families First Coronavirus Relief Act (FFCRA) to care for children whose schools are closed or childcare is not available due to COVID-19, reach out to me for a separate form to track those cases.
Visit our COVID-19 Resource Page for more updates.