FMLA

A new WH-380-E, "Certification of Health Care Provider for Employee’s Serious Health Condition," and WH-380-F, "Certification of Health Care Provider for Family Member’s Serious Health Condition," which replace the old WH-380, "Certification of Health Care Provider";The Dept of Labor form is available in two forms: WH-380-E for an employees own condition and WH-380-F for a family members condition.

EMPLOYEE RIGHTS AND RESPONSIBILITIES

EMPLOYEE RIGHTS AND RESPONSIBILITIES UNDER THE FAMILY AND MEDICAL LEAVE ACT NEED A FORM SEE BELOW

FMLA Fact Sheet

Fact Sheet #28: The Family and Medical Leave Act of 1993

WH-380-E

WH-380-E for an employees own condition.

WH-380-F

WH-380-F for a family members condition.