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 (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 (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
New York State Disability Form (DB-450)
Notice of Eligibility and Rights & Responsibilities - New York State Form WH-381 (FMLA)