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FMLA Forms and Poster

Click below for all of the January 16, 2009 Department of Labor FMLA certification forms and poster:

FMLA Poster (WHD 1420 Jan 09)

Notice of Eligibility and Rights & Responsibilities (WH-381)

Certification of Health Care Provider for Employee’s Serious Health Condition (WH-380-E)


Certification of Health Care Provider for Family Member’s Serious Health Condition (WH-380-F)


Certification – Qualifying Exigency for Military Family Leave (WH-384)


Certification for Serious Injury or Illness of Covered Servicemember for Military Family Leave (WH-358)


Designation Notice (FMLA WH-382)

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