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ARTICLE · 17 JUNE 2015

DOL Issues Updated FMLA Notices And Forms Addressing GINA "Safe Harbor" Language Requirements

Littler Mendelson
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The U.S. Department of Labor (DOL) recently issued new versions of the agency's template Family and Medical Leave Act (FMLA) notices and certification forms, which have been approved for use for the next three years.

United StatesEmployment and HR
Casey Kurtz
Casey Kurtz
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The U.S. Department of Labor (DOL) recently issued new versions of the agency's template Family and Medical Leave Act (FMLA) notices and certification forms, which have been approved for use for the next three years. The new forms—some of which the DOL has substantively revised—include the following:

  • 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 & Responsibilities;*
  • WH-382 Designation Notice:*
  • WH-384 Certification of Qualifying Exigency for Military Family Leave;*
  • WH-385 Certification for Serious Injury or Illness of Current Servicemember – for Military Family Leave; and

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