Nevada Employer FMLA Response - Form WH-381

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

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

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FAQ

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.

The Family and Medical Leave Act (FMLA) provides certain employees with up to 12 weeks of unpaid, job-protected leave per year.

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.

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...

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.

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.

In Nevada, employees may take up to 12 weeks of leave in a 12-month period for a serious health condition, bonding with a new child, or qualifying exigencies. This leave is available every 12 months, as long as the employee continues to meet the eligibility requirements explained above.

EligibilityHave worked for your employer for at least 12 months; and.Have worked for your employer for at least 1,250 hours in the 12 months before you are taking leave; and.Work at a location where your employer has at least 50 employees within 75 miles of your worksite.

Employers may have denied leave to employees based on eligibility requirements, but the state of California is one of the few states that require small employers to provide disability leave.

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.

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Nevada Employer FMLA Response - Form WH-381