The US Department of Labor has finally issued new versions
of its sample Family and Medical Leave Act (FMLA) notice, provider
certification, and military certification forms. The “old” DOL forms
expired some time ago, leaving employers to wonder when they would receive the
DOL’s new “blessed” versions of the forms. Well, they are finally here!

expected to continue, that is peace of mind worth having.
There are no major changes to the new FMLA forms as compared
to the old ones, but there is new disclaimer language making clear that
the employer is not requesting information protected by the Genetic Information
Nondiscriminaton Act. The DOL is a bit late to the party on this
one, as including such disclaimers has been recommended practice for several
years.
The new forms will remain effective until May of 2018. For those employers wanting to update their form database, links to the new DOL
forms are provided below. They’re also accessible from the DOL’s Wage and Hour Division
web page.
WH-380-E Certification of Health Care Provider for Employee’s Serious Health Condition (PDF)
WH-380-F Certification of Health Care Provider for Family Member’s Serious Health Condition (PDF)
WH-381 Notice of Eligibility and Rights & Responsibilities (PDF)
WH-382 Designation Notice (PDF)
WH-384 Certification of Qualifying Exigency For Military Family Leave (PDF)
WH-385 Certification for Serious Injury or Illness of Covered Servicemember -- for Military Family Leave (PDF)
WH-385-V Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave (PDF)
WH-380-E Certification of Health Care Provider for Employee’s Serious Health Condition (PDF)
WH-380-F Certification of Health Care Provider for Family Member’s Serious Health Condition (PDF)
WH-381 Notice of Eligibility and Rights & Responsibilities (PDF)
WH-382 Designation Notice (PDF)
WH-384 Certification of Qualifying Exigency For Military Family Leave (PDF)
WH-385 Certification for Serious Injury or Illness of Covered Servicemember -- for Military Family Leave (PDF)
WH-385-V Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave (PDF)
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