Free FMLA Forms

16
total templates

What Is FMLA Leave? 

FMLA Leave is a type of unpaid leave provided by the Family and Medical Leave Act. It was introduced to allow any eligible employee to simultaneously handle their job duties and personal responsibilities – it is possible to spend days, weeks, and even months away from the workplace for particular reasons with a properly filled out and accepted request. Each year, you may qualify for twelve FMLA Leave weeks if you complied with its eligibility requirements:

  1. You have been employed with your current business for twelve months or more.
  2. You have worked 1,250 hours and more in the last year.
  3. Your organization employs fifty or more people whose main place of residence is within a 75-mile radius of the workplace. 

These situations let you request FMLA Leave:

  • You cannot go to work due to a medical condition – a serious illness or injury;
  • You need to provide care to an immediate family member (spouse, child, or parent) with health issues;
  • You are planning to give birth and then care for your child;
  • You are preparing to adopt or foster a child and then care for them;
  • Your family member (spouse, child, or parent) is called to active military duty in a foreign country or needs to attend a military-related activity.

Where to Get FMLA Forms?

You can ask the human resources department or your direct supervisor for any FMLA form you need. Additionally, you can request assistance if you do not know how to fill out the form properly. Employers are welcome to download and use our templates when composing their own forms. 

What Forms Are Required for FMLA?

There are two main FMLA forms you need to complete:

  1. An FMLA Request Form is filled out to notify the employer of the decision to exercise the right for FMLA Leave.
  2. An FMLA Return to Work Form is completed when the leave is over and the employee is ready to resume their active employment.

The documents listed below may come in handy to prove that you cannot handle your personal responsibilities without leave. Depending on your personal situation, these official forms must be submitted with your FMLA Leave Form:

  1. Form WH-380-E, Certification of Health Care Provider for Employee’s Serious Health Condition, is signed by the employee’s physician who needs to confirm their illness or injury and certify they cannot come to work for a certain period of time.
  2. Form WH-380-F, Certification of Health Care Provider for Family Member’s Serious Health Condition, is designed for employees who plan to take care of their sick relatives and require a confirmation from the family member’s doctor to obtain much-needed leave.
  3. Form WH-381, Notice of Eligibility and Rights & Responsibilities, serves as an information sheet for employees who need to obtain FMLA Leave and tells them the main requirements for leave.
  4. Form WH-382, Designation Notice, is completed by the employer who informs the employee about the time that will be covered by leave and sometimes requests additional documentation and information to determine the legitimacy of the FMLA leave request.
  5. Form WH-384, Certification of Qualifying Exigency For Military Family Leave, is prepared by employees who need to deal with issues arising from the military duty of their family members – military events, short-notice deployment, legal and financial arrangements, child care activities, etc.
  6. Form WH-385, Certification for Serious Injury or Illness of Covered Servicemember - for Military Family Leave, is filled out to provide evidence of the serious illness or injury of a service member whose relative, an employee, needs to request FMLA leave.
  7. Form WH-385-V, Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave, is signed by the authorized doctor who verifies the serious medical condition of a former servicemember who requires care of their relative, an employee.

Haven't found the form you are looking for? Take a look at the related forms below:

Documents

16

"Fmla Request Form"

Rate (4.6 / 5) 23 votes
Size: 70 KB
2 pages

An FMLA Request Form is a document completed by employees who are eligible for time off in compliance with the Family and Medical Leave Act provisions.

"Fmla Return to Work Form"

Rate (4.3 / 5) 21 votes
Size: 69 KB
2 pages

This is a notification completed by the employee and submitted to their employer after an FMLA leave - a leave requested and provided under the provisions of the Family and Medical Leave Act - is over.

Form WH-384 "Certification for Military Family Leave for Qualifying Exigency Under the Family and Medical Leave Act"

Rate (4.6 / 5) 79 votes
Size: 258 KB
4 pages

Form WH-385 "Certification for Serious Injury or Illness of a Current Servicemember for Military Caregiver Leave Under the Family and Medical Leave Act"

Rate (4.4 / 5) 102 votes
Size: 321 KB
4 pages

Form WH-381 "Notice of Eligibility & Rights and Responsibilities Under the Family and Medical Leave Act"

Rate (4.6 / 5) 52 votes
Size: 323 KB
4 pages

Form WH-382 "Fmla Designation Notice"

Rate (4.4 / 5) 37 votes
Size: 249 KB
2 pages

Form WH-380-F "Certification of Health Care Provider for Family Member's Serious Health Condition Under the Family and Medical Leave Act"

Rate (4.6 / 5) 120 votes
Size: 485 KB
4 pages

Form WH-385-V "Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave Under the Family and Medical Leave Act"

Rate (4.4 / 5) 113 votes
Size: 383 KB
4 pages

Form WH-380-E "Fmla Certification of Health Care Provider for Employee's Serious Health Condition"

Rate (4.5 / 5) 46 votes
Size: 389 KB
4 pages