Beginning March 8, 2013, the Department of Labor issued new rules for employers which included updated FLMA notices and certification forms and a new FMLA poster.

While employers are not required to use the DOL forms, employers’ forms must adapt the DOL’s version in creating their own forms.  The forms can not require the employee or health care provide to disclose more information than what is required by the FMLA regulations.

Below are the links to the new FLMA forms and poster:  

WH-380-E   Certification of Health Care Provided for Employee’s Serious Health Condition

WH-380-F   Certification of Health Care Provider for Family Members’ 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 Current Servicemember – for Military Family Leave

WH-385-V Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave

New FLMA Poster