Wage and Hour Division (WHD)
Forms: Final Rule to Implement Statutory Amendments to the Family and Medical Leave Act
![](https://webarchive.library.unt.edu/web/20130219023732im_/http://www.dol.gov/whd/images/military-forms-banner.jpg)
- WH-380-E Certification of Health Care Provider for Employee’s Serious Health Condition (PDF)
- WH-380-F Certification of Health Care Provider for Family Member’s Serious Health Condition (PDF)
- WH-381 Notice of Eligibility and Rights & Responsibilities (PDF)
- WH-382 Designation Notice (PDF)
- WH-384 Certification of Qualifying Exigency For Military Family Leave (PDF)
- WH-385 Certification for Serious Injury or Illness of Current Servicemember -- for Military Family Leave (PDF)
- WH-385-V Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave (PDF)
Military caregiver leave for a veteran will not be available until the effective date of the Final Rule on March 8, 2013
For Information on the effective date, click here.