FMLA Forms Reissued With New Expiration Dates

Recently, the Department of Labor reissued seven Family and Medical Leave Act (“FMLA”) forms. These forms now have an expiration date of August 31, 2021. The reissued forms are:

  • WH-380-E, Certification of Health Care Provider for Employee’s Serious Health Condition;
  • WH-380-F, Certification of Health Care Provider for Family Member’s Serious Health Condition;
  • WH-381, Notice of Eligibility and Rights and Responsibilities;
  • WH-382, Designation Notice;
  • WH-384, Certification of Qualifying Exigency For Military Family Leave;
  • WH-385, Certification for Serious Injury or Illness of Covered Servicemember—for Military Family Leave; and
  • WH-385-V, Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave.

For additional information on this or any related topic, please contact Indiana labor and employment law attorney Olivia Robinson at (812) 423-3183 or, or contact any member of the KDDK Labor and Employment Law Practice Team.

About the Author

Olivia G. Robinson

Olivia Robinson is an Indiana and Kentucky labor and employment law attorney who leverages her strong legal research, organization and communication skills as she advises employers on avoiding and defending against harassment, discrimination, retaliation, and other employment-related claims in federal and state courts and before local, state and federal administrative agencies.

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