Employment / FMLAhardDoctor signature required

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).

Form Details

Total fields
45
Auto-fillable
22 (49%)
Time without BeneFill
35 minutes
Time with BeneFill
10 minutes
Time saved
25 minutes
Filled by
doctor
Frequency
per incident

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Where to Submit This Form

📬

Return to your employer's HR department

Submit to HR along with medical documentation.

📧

Email to HR if accepted electronically

Filing Deadline

Within 15 calendar days of employer's request for certification.

Required Attachments

  • 📎 Medical certification from an authorized DOD or VA healthcare provider
  • 📎 Documentation of the covered servicemember's serious injury or illness
  • 📎 Invitational Travel Orders (ITOs) or Invitational Travel Authorizations (ITAs) if available

Processing Time

Employer must respond within 5 business days.

What Happens Next

If approved, you are entitled to up to 26 weeks of military caregiver leave in a single 12-month period to care for a seriously injured or ill covered servicemember.

Tips for This Form

  • Military caregiver leave provides up to 26 weeks — more than standard FMLA's 12 weeks
  • Available to spouse, parent, child, or next of kin of the covered servicemember
  • This 26-week entitlement is per-servicemember, per-injury
  • Reference: https://www.dol.gov/agencies/whd/fmla/military-family-leave

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