Get Dol Wh-380-f 2020-2025

The DoL WH-380-F form is essential for obtaining FMLA leave to care for a family member with a serious health condition. This guide provides clear instructions to help you complete the form accurately and efficiently online.

Follow the steps to successfully complete the DoL WH-380-F online.

1. Press the ‘Get Form’ button to access the form and open it in your preferred online platform.
2. In Section I, provide the names of the employee and employer, along with the date you request the medical certification. Ensure that the certification is returned by the specified date, allowing at least 15 calendar days.
3. Complete Section II with the name of the family member for whom you will provide care. Indicate your relationship to the family member by selecting from the given options, and briefly describe the nature of care you will provide.
4. Estimate the amount of leave you will need to provide care and, if necessary, specify any adjustments to your work schedule. Ensure this section is completed and signed before sharing the form with your family member or their health care provider.
5. In Section III, the health care provider should fill out their contact information, complete all relevant parts regarding the patient's health condition, and provide details on the type and duration of care needed.
6. In Part A, the health care provider should detail the patient's condition and its expected duration. They should check relevant medical conditions and provide necessary information related to the patient's treatments.
7. In Part B, indicate the amount of leave needed based on the patient's condition, including any expected dates for medical treatments or periods of incapacity.
8. Once all sections are filled out, review the form for any errors or omissions. Save the changes, download a copy for your records, and print or share the completed form as necessary.

Complete your DoL WH-380-F online today for a streamlined process.