Get the free Certification for Serious Injury or Illness of Covered Servicemember (Form WH-385)

This form is used to certify the need for FMLA leave due to a serious injury or illness of a covered servicemember. It includes sections for both the employee requesting leave and the healthcare provider

How to fill out certification for serious injury

How to fill out Certification for Serious Injury or Illness of Covered Servicemember (Form WH-385)

1. Step 1: Download the Certification for Serious Injury or Illness of Covered Servicemember (Form WH-385) from the U.S. Department of Labor website.
2. Step 2: Fill in the employee's information in the designated sections, including name, address, and contact information.
3. Step 3: Provide information about the covered servicemember, including their relationship to the employee and the servicemember's contact details.
4. Step 4: Complete the sections detailing the servicemember's serious injury or illness, including the nature of the injury or illness and the date it occurred.
5. Step 5: Indicate the expected duration of the servicemember's medical condition and any treatment plans that may be in place.
6. Step 6: Ensure that the health care provider completes and signs the certification, including their name, address, and telephone number.
7. Step 7: Review the completed form for accuracy and completeness before submission.
8. Step 8: Submit the completed form to your employer according to their specified procedure, ensuring to keep a copy for your records.

Who needs Certification for Serious Injury or Illness of Covered Servicemember (Form WH-385)?

1. Employees who are taking leave to care for a covered servicemember with a serious injury or illness.
2. Family members of a covered servicemember needing to provide proof of the serious injury or illness for Family and Medical Leave Act (FMLA) purposes.
3. Any individual seeking FMLA leave related to the care of a servicemember who has been injured in the line of duty.

People Also Ask about

What qualifies as a serious medical condition?

An employee may be required by the employer to submit a certification from a health care provider to support the need for FMLA leave to care for a covered family member with a serious health condition or for the employee's own serious health condition.

Where do I get a serious health condition form?

Contact us at 833- 717-2273 to request a copy of the form. Questions? This form is used to certify a serious health condition in order to qualify for Paid Family and Medical Leave.

What is a CFRA certification?

A California-compliant medical certification form under the California Family Rights Act (CFRA) for a health care provider to certify the serious health condition of an employee, or the employee's child, spouse, registered domestic partner, parent, parent-in-law, grandparent, grandchild, sibling, or designated person.

How to fill out FMLA certification?

Visit the FMLA website to find and print out the FMLA form. Have your employer complete section 1, then fill out the required information in section 2, like your full name. Meet with your healthcare provider and have them fill out section 3, then return the completed form to your employer.

What is a certification form for FMLA?

Certification Forms Certification is an optional tool provided by the FMLA for employers to use to request information to support certain FMLA-qualifying reasons for leave.

How to get a doctor to fill out FMLA paperwork?

Doctors have no legal obligation to complete FMLA certifications, although most doctors will do so for a fee. Prior to making an appointment, contact your doctor's office and ask about its policy regarding FMLA forms and any associated fees.

What is a certification for serious injury or illness of a current service member?

A complete and sufficient certification to support a request for FMLA leave due to a covered servicemember's serious injury or illness includes written documentation confirming that the servicemember's injury or illness was incurred in the line of duty on active duty or if not, that the current servicemember's injury

For pdfFiller’s FAQs

What is Certification for Serious Injury or Illness of Covered Servicemember (Form WH-385)?

Certification for Serious Injury or Illness of Covered Servicemember (Form WH-385) is a document used to verify the serious health condition of a servicemember, allowing their family members to take family and medical leave under the Family and Medical Leave Act (FMLA).

Who is required to file Certification for Serious Injury or Illness of Covered Servicemember (Form WH-385)?

The family members of covered servicemembers who wish to take leave to care for their serious injury or illness are required to file Certification for Serious Injury or Illness of Covered Servicemember (Form WH-385).

How to fill out Certification for Serious Injury or Illness of Covered Servicemember (Form WH-385)?

To fill out Form WH-385, you need to provide information about the servicemember, such as their name, the type of serious injury or illness, and details about the care needed by the servicemember. The form requires signatures from both the family member requesting leave and the healthcare provider.

What is the purpose of Certification for Serious Injury or Illness of Covered Servicemember (Form WH-385)?

The purpose of Certification for Serious Injury or Illness of Covered Servicemember (Form WH-385) is to substantiate the need for leave under the FMLA for family members of servicemembers who have sustained serious injuries or illnesses during military service.

What information must be reported on Certification for Serious Injury or Illness of Covered Servicemember (Form WH-385)?

The information reported on Form WH-385 includes the servicemember's name, the type of serious illness or injury, the duration of the condition, the expected duration of the leave needed, and details about the care needed, along with signatures from the family member and healthcare provider.