Qualifying exigencies include short-notice deployment, military events, childcare arrangements, financial/legal matters, counseling, and post-deployment activities

Available for family members of National Guard and Reserve members called to active duty

More info: https://www.dol.gov/agencies/whd/fmla/military-family-leave

Employment / FMLAmoderate

FMLA Certification - Qualifying Exigency (Military)

WH-384 · U.S. Department of Labor

Certification of Qualifying Exigency for Military Family Leave. For leave due to a covered family member's active duty or call to active duty.

Form Details

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Where to Submit This Form

📬

Return to your employer's HR department

Submit to HR with supporting military documentation.

📧

Email to HR if your employer accepts electronic submissions

Filing Deadline

Within 15 calendar days of employer's request. You must also provide 30 days' advance notice of foreseeable leave when possible.

Required Attachments

📎 Certification for qualifying exigency leave
📎 Copy of the covered military member's active duty orders (first time only)
📎 Documentation of the specific qualifying exigency (e.g., military event details, appointment confirmations)

Processing Time

Employer must respond within 5 business days.

What Happens Next

If approved, you are entitled to up to 12 weeks of job-protected qualifying exigency leave related to a family member's military deployment.

Tips for This Form

✓ Qualifying exigencies include short-notice deployment, military events, childcare arrangements, financial/legal matters, counseling, and post-deployment activities
✓ Available for family members of National Guard and Reserve members called to active duty
✓ More info: https://www.dol.gov/agencies/whd/fmla/military-family-leave

More Employment / FMLA Forms

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WH-380-E · U.S. Department of Labor

Certification of Health Care Provider for Employee's Serious Health Condition. Medical certification for FMLA leave for the employee's own condition.

FMLA Certification - Family Member's Serious Health Condition

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Certification of Health Care Provider for Family Member's Serious Health Condition. Medical certification when employee needs leave to care for a family member.

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Notice of Eligibility and Rights & Responsibilities. Employer must provide within 5 business days of FMLA leave request, stating whether employee is eligible.

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WH-382 · U.S. Department of Labor

Designation Notice. Employer designates leave as FMLA-qualifying or denies it. Must be provided within 5 business days of receiving sufficient certification.

FMLA Certification - Serious Injury/Illness of Servicemember

WH-385 · U.S. Department of Labor

Certification for Serious Injury or Illness of Covered Servicemember for Military Family Leave (current servicemember).

FMLA Certification - Serious Injury/Illness of Veteran

WH-385-V · U.S. Department of Labor

Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave.

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