LABOR DEPARTMENT RELEASES NEW FMLA MODEL FORMS AND NOTICE POSTER
The U.S Department of Labor has released revised model Family and Medical Leave Act ("FMLA") forms to administer federal FMLA leave and a notice poster. The updated
forms should be used by employers immediately, although they include no
substantive revisions despite recent rulemaking on
the FMLA military caregiver leave provisions (see our article DOL Publishes Final Regulations Addressing Military Family
Leave Provisions). The new forms expire on
February 28, 2015. Following are links to the revised model forms:
- WH-380-E Certification of Health Care Provider for
Employee's Serious Health Condition
- WH-380-F Certification of Health Care Provider for Family
Member's Serious Health Condition
- WH-381 Notice of Eligibility and Rights &
Responsibilities
- WH-382 Designation Notice
- WH-384 Certification of Qualifying Exigency For Military
Family Leave
- WH-385 Certification for Serious Injury or Illness of Covered
Servicemember -- for Military Family Leave
- WH-385-V Certification for Serious Injury or Illness
of a Veteran for Military Caregiver Leave
The DOL notice poster summarizes major provisions of the federal FMLA and tells employees how to file a complaint. By March 8, 2013, all covered employers must display the new notice poster in a conspicuous place where employees and applicants for employment can see it. The poster must be displayed at all locations even if there are no employees eligible for FMLA at the location (e.g., there are fewer than 50 employees employed within a 75-mile radius of the worksite). Electronic posting also is permitted to satisfy the posting requirement, as long as it otherwise meets the requirements of the regulations. The poster may be accessed here: http://www.dol.gov/whd/regs/compliance/posters/fmlaen.pdf
If you have any questions about this or other federal or state/territorial family and medical leave issues, please contact your local UBA Partner Firm.
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