WH-385 · U.S. Department of Labor
Certification for Serious Injury or Illness of Covered Servicemember for Military Family Leave (current servicemember).
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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.
Employer must respond within 5 business days.
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.
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.
WH-380-F · U.S. Department of Labor
Certification of Health Care Provider for Family Member's Serious Health Condition. Medical certification when employee needs leave to care for a family member.
WH-381 · U.S. Department of Labor
Notice of Eligibility and Rights & Responsibilities. Employer must provide within 5 business days of FMLA leave request, stating whether employee is eligible.
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.
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.
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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