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This page groups DOL forms related to fmla medical & military leave.
Family and Medical Leave Act certification and notice forms.
The Family and Medical Leave Act (FMLA) provides eligible employees up to 12 weeks of unpaid, job-protected leave per year for qualifying medical and family reasons, or up to 26 weeks for military caregiver leave. These forms are used by employers and employees to request, certify, and manage FMLA leave.
This page groups DOL forms related to fmla medical & military leave.
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Certification of Health Care Provider for Employee's Serious Health Condition (FMLA)
Certifies that an employee has a serious health condition requiring leave under the Family and Medical Leave Act (FMLA). Must be completed by a licensed healthcare provider.
Certification of Health Care Provider for Family Member's Serious Health Condition (FMLA)
Certifies that an employee's family member (spouse, child, or parent) has a serious health condition requiring the employee to take FMLA leave to provide care.
Notice of Eligibility and Rights and Responsibilities (FMLA)
Employer notice to an employee of FMLA eligibility status and their rights and responsibilities under FMLA. Employers must provide this notice within 5 business days of receiving a leave request.
DOL forms related to fmla medical & military leave.
Certification of Health Care Provider for Employee's Serious Health Condition (FMLA)
Certifies that an employee has a serious health condition requiring leave under the Family and Medical Leave Act (FMLA). Must be completed by a licensed healthcare provider.
Certification of Health Care Provider for Family Member's Serious Health Condition (FMLA)
Certifies that an employee's family member (spouse, child, or parent) has a serious health condition requiring the employee to take FMLA leave to provide care.
Notice of Eligibility and Rights and Responsibilities (FMLA)
Employer notice to an employee of FMLA eligibility status and their rights and responsibilities under FMLA. Employers must provide this notice within 5 business days of receiving a leave request.
Designation Notice (FMLA)
Official employer designation of whether leave qualifies as FMLA leave. Employers must provide this within 5 business days of having enough information to determine if the leave qualifies.
Certification of Qualifying Exigency for Military Family Leave (FMLA)
Certifies a qualifying exigency for FMLA leave related to a covered military member being on active duty or called to active duty in a foreign country.
Certification for Serious Injury or Illness of a Covered Servicemember — for Military Family Leave (FMLA)
Certifies that a covered servicemember has a serious injury or illness requiring family caregiver leave under FMLA. Provides up to 26 weeks of leave in a single 12-month period.
FMLA Certification Serious Injury Illness Veteran Military Caregiver Leave
DOL Form WH-385-V. Official government form with AI-powered guidance.
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