Monday, March 9, 2015

Expiration of Department of Labor Model FMLA Forms

On February 28, 2015, the model FMLA forms available on the U.S. Department of Labor’s (DOL) website expired.

The DOL has extended the expiration date on the forms to March 31, 2015, and all copies of the forms reflecting the March 31, 2015 date are available on the DOL website via the links below:

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 Covered Servicemember -- for Military Family Leave

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

As an option, the Office of Management and Budget (OMB) is allowing employers to continue to use the expired forms until new forms are issued.

Just prior to the expiration of the forms, the DOL submitted an information collection request (ICR) to OMB to request input on how the forms should be revised. Public comments on the ICR are welcome, and are due by March 27, 2015. For information on how to submit comments, see the attached Federal Register Notice.

This notification is provided as a service to our Senn Dunn HR Consulting clients and friends. Please don’t hesitate to contact us should you need assistance with human resource matters.

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