FMLA Medical Certification Forms:

• Employee’s serious health condition, form WH-380-E - Use when a leave request is due to the medical condition of the employee.
  • Condición de salud grave del empleado, formulario WH-380-E (Español)
     
• Family member’s serious health condition, form WH-380-F - Use when a leave request is due to the medical condition of the employee’s family member.
  • Condición de salud grave de un miembro de la familia, formulario WH-380-F (Español)
     
• Military Caregiver Leave of a Current Servicemember, form WH-385 – use when requesting leave to care for a family member who is a current service member with a serious injury or illness.
  • Licencia para cuidador militar de un miembro actual de las Fuerzas Armadas, formulario WH-385 (Español)
     
• Military Caregiver Leave of a Veteran, form WH-385-V – use when requesting leave to care for a family member is who a covered veteran with a serious injury or illness.
  • Licencia de Cuidador Militar de un Veterano, formulario WH-385-V (Español)