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A copy of the military member s covered active duty orders is attached. Other documentation from the military certifying that the military member is on covered active duty or has been notified of an impending call to covered active duty is attached. I have previously provided my employer with sufficient written documentation confirming the military member s Page 1 CONTINUED ON NEXT PAGE WH-384 R evised February 2013 PART A QUALIFYING REASON FOR L...

How to fill out wh 384 2009 form

How to fill out wh 384 2009 form:

1. Start by downloading the wh 384 2009 form from a reliable source or obtain a physical copy from the concerned authority.
2. Carefully read the instructions provided on the form to understand the requirements and any specific guidelines for completing it.
3. Fill in your personal information accurately, including your name, address, contact details, and social security number, as required.
4. Provide the name and contact information of your employer or the company you work for.
5. Indicate the reason for the leave you are requesting by selecting the appropriate option from the provided choices.
6. Specify the start and end dates of your requested leave period.
7. If applicable, specify any intermittent leave periods and provide the dates for those periods.
8. Sign and date the form to certify that all the information provided is true and accurate.
9. Submit the completed form to the relevant authority or your employer as instructed.

Who needs wh 384 2009 form:

1. Employees who need to request a leave of absence from their workplace.
2. Individuals who are covered under the Family and Medical Leave Act (FMLA) and require documentation for their leave.
3. Employers who are responsible for documenting and processing employee leave requests in accordance with the FMLA guidelines.

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What is wh 384 form?

The WH-384 form is a certification of serious health condition for military family leave under the Family and Medical Leave Act (FMLA).

Who is required to file wh 384 form?

The employee or their representative is required to file the WH-384 form.

How to fill out wh 384 form?

To fill out the WH-384 form, you need to provide the necessary information about the military service member's serious health condition, your relationship with the service member, and your need to take FMLA leave to care for the service member.

What is the purpose of wh 384 form?

The purpose of the WH-384 form is to certify an employee's eligibility for FMLA leave when caring for a military service member with a serious health condition.

What information must be reported on wh 384 form?

The WH-384 form requires information such as the service member's name, rank, branch of service, the employee's relationship to the service member, and the start and end dates of the FMLA leave.