California Employer FMLA Response - Form WH-381

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Multi-State
Control #:
US-426EM
Format:
Word; 
Rich Text
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Description

This form is used by an employer to provide a response to a request for leave under the FMLA.
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  • Preview Employer FMLA Response - Form WH-381
  • Preview Employer FMLA Response - Form WH-381
  • Preview Employer FMLA Response - Form WH-381

How to fill out Employer FMLA Response - Form WH-381?

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FAQ

Spanish Forms. Use this form to give employees notice of their rights under the California Family Rights Act (CFRA), and to designate leave as CFRA and/or Family and Medical Leave Act (FMLA), to provide conditional approval of the request for leave if more information is necessary or to deny the request.

How to Approve or Deny FMLA LeaveStep 1: Provide Education and Notices.Step 2: Respond to a Request for FMLA Leave.Step 3: Determine Certification Needs.Step 4: Determine Clarification and Authentication Needs, if Any.Step 5: Obtain Second and Third Opinions, if Needed.Step 6: Approve or Deny the Leave.More items...

PROVIDE TO EMPLOYEE. While use of this form is optional, a fully completed Form WH- 381 provides employees with the information required by 29 C.F.R. ? 825.300(b), (c) which must be provided within five business days of the employee notifying the employer of the need for FMLA leave.

WH-380-E (Certification of Health Care Provider for Employee's Serious Health Condition)

This form, like 380-E, requires the employer, employee, and the health care practitioner to complete specific information. Your relative's medical provider must complete the rest of the form with information similar to that required by Form 380-E, such as: When the condition began.

Fill out Section 2 of the form. If you are completing form WH-380-F, you will be required to provide information about the family member you are caring for during FMLA leave; such as their full name, your relationship to one another, and a description of your methods for providing care for that person.

If you are not eligible for FMLA, you may still be eligible for a Medical Leave under Civil Service Rules or your collective bargaining agreement.

Among the forms changed were the WH-381, the notice of eligibility and rights and responsibilities; WH-382, designation notice; WH-380-E, medical certification of an employee's serious health condition; and WH-380-F, medical certification of a family member's serious health condition.

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.

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California Employer FMLA Response - Form WH-381