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This is a PDF document that employers can use to inform employees of their FMLA leave status and entitlement. It includes sections for different types of FMLA leave, certification requirements, and employee rights and responsibilities.
Designation Notice, form WH-382 (Spanish) – informs the employee whether the FMLA leave request is approved; also informs the employee of the amount of leave that is designated and counted against the employee’s FMLA entitlement.
Employers may use WHD Form WH-382, Designation Notice, or create their own version of this notice, provided it meets all legal requirements.
Please click on the link below to be directed to the U.S. Department of Labor – Wage and Hour Division for the official form you have requested. WH-382 - Designation Notice Benefits
Learn how to designate leave as FMLA-qualifying and give notice to employees using the optional form WH-382. Find out the requirements, deadlines, and consequences of failing to follow the FMLA notice rules.
Learn how to use DOL's forms for FMLA notices, including WH-382 for designation, and avoid common pitfalls and violations. Find out when and how to request certification, recertification and...
Employers typically respond to FMLA leave requests by providing the employee with the Notice of Eligibility and Rights & Responsibilities (Form WH-381) and a medical certification form.
Learn about the different FMLA forms you may need to apply for unpaid leave under the Family and Medical Leave Act. Find out what information to provide, who to submit them to, and where to...
Learn the difference between FMLA eligibility and entitlement, and how to use Form WH-382 to communicate the designation of leave. This blog post is part of a series on FMLA basics by Bryan Cave Leighton Paisner.
See Designation Notice Form (WH-382) Normally, an employer will want to make sure to comply with this procedure to start the clock running on the amount of FMLA leave the employee has...