We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use.
Click "here" to read our Cookie Policy. By clicking "Accept" you agree to the use of cookies. Read less
Read more
Accept
Loading
Form preview
  • US Legal Forms
  • Form Library
  • Executive Forms
  • Executive Department DOL Forms
  • Dol Wh-380-f 2020

Get Dol Wh-380-f 2020-2025

U.S. Department of Labor Wage and Hour Division Certification of Health Care Provider for Family Member s Serious Health Condition under the Family and Medical Leave Act DO NOT SEND COMPLETED FORM.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out and sign a form online?

Get your online template and fill it in using progressive features. Enjoy smart fillable fields and interactivity. Follow the simple instructions below:

Finding a authorized specialist, making a scheduled visit and going to the workplace for a personal meeting makes completing a DoL WH-380-F from beginning to end stressful. US Legal Forms lets you rapidly make legally-compliant documents based on pre-built browser-based blanks.

Execute your docs within a few minutes using our simple step-by-step instructions:

  1. Find the DoL WH-380-F you require.
  2. Open it up using the online editor and begin altering.
  3. Fill in the empty areas; concerned parties names, addresses and phone numbers etc.
  4. Customize the template with exclusive fillable fields.
  5. Add the particular date and place your electronic signature.
  6. Click on Done after double-examining everything.
  7. Download the ready-created record to your system or print it like a hard copy.

Swiftly produce a DoL WH-380-F without having to involve experts. We already have more than 3 million people taking advantage of our rich library of legal documents. Join us today and get access to the #1 catalogue of online templates. Try it out yourself!

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

FMLA: Forms
Family member's serious health condition, form WH-380-F – use when a leave request is...
Learn more
Family Member's Medical Certification Form
DO NOT SEND COMPLETED FORM TO THE DEPARTMENT OF LABOR. OMB Control Number: 1235-0003...
Learn more
FMLA: Forms | U.S. Department of Labor - Form I-9...
Employee's serious health condition, form WH-380-E – use at a leaving request is due to...
Learn more

Related links form

Public Health Declaration Form 1.2 Conditions Guarantee Form - Rotary District 6080 - Rotary6080 PREVIOUS EXAM PAPER ORDER FORM: 2015 - INTEC College

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

An FMLA serious health condition generally involves a period of incapacity. Incapacity means an individual is unable to work, attend school or perform other regular daily activities because of the serious health condition, due to treatment of it, or for recovery from the condition.

Employees are eligible for leave if they have worked for their employer at least 12 months, at least 1,250 hours over the past 12 months, and work at a location where the company employs 50 or more employees within 75 miles.

Employees must make reasonable efforts to schedule leave for planned medical treatment so as not to unduly disrupt the employer's operations. Leave due to qualifying exigencies may also be taken on an intermittent basis. Employees may choose or employers may require use of accrued paid leave while taking FMLA leave.

In order to be eligible to take leave under the FMLA, an employee must (1) work for a covered employer, (2) work 1,250 hours during the 12 months prior to the start of leave, (3) work at a location where 50 or more employees work at that location or within 75 miles of it, and (4) have worked for the employer for 12 ...

Can You Be Fired If Your FMLA Is Denied? Your employer can not retaliate against you for exercising your rights under the FMLA. That means whether you make an FMLA request or appeal their FMLA denial to the DOL or in a private lawsuit, they cannot take adverse employment action against you.

Employee's serious health condition, form WH-380-E – use when a leave request is due to the medical condition of the employee. Family member's serious health condition, form WH-380-F – use when a leave request is due to the medical condition of the employee's family member.

FMLA typically refers to continuous FMLA, which is a type of leave taken (up to 12 weeks per year) all at once. Intermittent FMLA is leave that can be taken more sporadically and nonconsecutively, with the amount of time away totaling 12 weeks per year.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get DoL WH-380-F
Get form
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232