Forms & Documents

topics
Title Purpose
Certification for Serious Injury or Illness of a Current Servicemember - for Military Family Leave: New York State Form WH-385 (FMLA)
Certification for Serious Injury or Illness of a Veteran for Military Caregiver Form WH-385 (FMLA)
Certification of Health Care Provider for Employee's Serious Health Condition WH-380-E (FMLA)

The FMLA permits an employer to require that you submit a timely, complete, and sufficient medical certification to support a request for FMLA leave due to your own serious health condition.

Certification of Health Care Provider for Family Member's Serious Health Condition WH-380-F (FMLA)

The FMLA permits an employer to require that you submit a timely, complete, and sufficient medical certification to support a request for FMLA leave to care for a covered family member with a serious health condition.

Certification of Qualifying Exigency For Military Family Leave: New York State Form WH-384 (FMLA)
Family and Medical Leave Act (FMLA)

Employee rights and responsibilities under the Family and Medical Leave Act

FMLA Designation Notice WH-382
Notice of Eligibility and Rights & Responsibilities - New York State Form WH-381 (FMLA)