An employee who wishes to use FMLA leave must complete a certification connected to the purpose of the FMLA leave. Complete the relevant form below and submit it to your leave approving official.
- WH-380E Certification of Health Care Provider for Employee’s Serious Health Condition
- WH-380F Certification of Health Care Provider for Family Member’s Serious Health Condition
- WH-384 Certification of Qualifying Exigency for Military Family Leave
- WH-385 Certification for Serious Injury or Illness of a Current Servicemember for Military Family Leave
- WH-385V Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave
If the form isn't visible using your web browser, please download the form and open using a PDF viewer such as Adobe Acrobat.