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1. www.dol.gov › agencies › whdFMLA: Forms - U.S. Department of Labor

   www.dol.gov › agencies › whd

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   The Department has developed optional-use forms which can be used by employers to provide required notices to employees, and by employees to provide certification of their need for leave for an FMLA qualifying reason. These forms are electronically fillable PDFs and can be saved electronically.

2. hr.berkeley.edu › policies › leavesFMLA: Guidelines, Forms, and Sample Letters | People & Culture

   hr.berkeley.edu › policies › leaves

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   Sample Letters: FMLA sample letters, created by UCnet, are currently available in PDF format on the UCnet website . For your convenience, here are the sample letters in Word format.

3. www.dol.gov › sites › dolgovCertification of Health Care Provider for Family Member s Serious...

   www.dol.gov › sites › dolgov

   The Family and Medical Leave Act (FMLA) provides that an employer may require an employee seeking FMLA leave to care for a family member with a serious health condition to submit a medical certification issued by the family member’s health care provider. 29 U.S.C. §§ 2613, 2614(c)(3); 29 C.F.R. § 825.305.

4. hr.ucsf.edu › sites › hrwFMLA Certification.PDF

   hr.ucsf.edu › sites › hrw

   health care provider: please complete this form and return to employer listed on reverse side. IF LEAVE IS BECAUSE OF EMPLOYEE'S SERIOUS HEALTH CONDITION Does this employee have a serious health condition?

5. www.usaid.gov › sites › defaultU.S. Department of Labor Employee’s Serious Health Condition...

   www.usaid.gov › sites › default

   INSTRUCTIONS to the EMPLOYER: The Family and Medical Leave Act (FMLA) provides that an employer may require an employee seeking FMLA protections because of a need for leave due to a serious health condition to submit a medical certification issued by the employee’s health care provider.

6. villageofpinckney.org › wp-content › uploadsSample FMLA Request Forms - Pinckney, Michigan

   villageofpinckney.org › wp-content › uploads

   To access the FMLA Medical Certification form WH-380 go to: temporary absences due to my own serious health condition. temporary absences due to caring for a family member (spouse, child, or parent) with a serious health condition. I have attached a completed certification from a health care provider documenting my need for leave.

7. www.shrm.org › topics-tools › toolsFMLA Certification Forms - SHRM

   www.shrm.org › topics-tools › tools

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   19 Αυγ 2020 · U.S. Department of Labor – Wage and Hour Division – FMLA Forms. This article directs readers to the U.S. DOL website to download the FMLA recertification forms.