Form preview

Get the free Family and Medical Leave Act (WH-380-E) template

Get Form
Certification of Health Care Provider for Employees Serious Health Conditionally and Medical Leave Act (WH380E) SECTION I: For Completion by the EMPLOYER INSTRUCTIONS to the EMPLOYER: The Family and
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign family and medical leave

Edit
Edit your family and medical leave form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your family and medical leave form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing family and medical leave online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Use the instructions below to start using our professional PDF editor:
1
Set up an account. If you are a new user, click Start Free Trial and establish a profile.
2
Prepare a file. Use the Add New button to start a new project. Then, using your device, upload your file to the system by importing it from internal mail, the cloud, or adding its URL.
3
Edit family and medical leave. Rearrange and rotate pages, add and edit text, and use additional tools. To save changes and return to your Dashboard, click Done. The Documents tab allows you to merge, divide, lock, or unlock files.
4
Save your file. Select it from your records list. Then, click the right toolbar and select one of the various exporting options: save in numerous formats, download as PDF, email, or cloud.
With pdfFiller, it's always easy to work with documents. Check it out!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out family and medical leave

Illustration

How to fill out family and medical leave

01
To fill out family and medical leave, follow these steps:
02
Obtain the necessary forms: Start by obtaining the required forms for family and medical leave. These forms can typically be found on your employer's website or by contacting your Human Resources department.
03
Review eligibility requirements: Familiarize yourself with the eligibility criteria for taking family and medical leave. This may include factors such as the number of hours worked, the length of employment, and the reason for the leave.
04
Gather relevant documentation: Collect any necessary supporting documents, such as medical certificates or documentation of familial relationship, depending on the reason for taking the leave.
05
Complete the forms: Fill out the family and medical leave forms accurately and completely. Make sure to provide all required information, including your personal details, the dates of leave requested, and the reason for the leave.
06
Consult your supervisor or HR representative: Before submitting the forms, it is recommended to discuss your intention to take family and medical leave with your immediate supervisor or contact your Human Resources representative. They can guide you through the process and address any additional questions or concerns.
07
Submit the forms: Once you have completed the forms and received any necessary approvals, submit them according to the guidelines provided by your employer. This may involve delivering them to your Human Resources department or submitting them electronically.
08
Follow up and keep copies: After submitting the forms, follow up with your employer to ensure they have been received and processed. Additionally, keep copies of all submitted documents for your records.
09
Comply with any further requirements: Familiarize yourself with any additional policies or regulations related to family and medical leave and comply with them as necessary. This may include providing periodic updates, providing medical certifications, or adhering to specific return-to-work procedures.
10
Remember, it is always advised to consult your employer's specific policies and guidelines regarding family and medical leave for accurate and up-to-date information.

Who needs family and medical leave?

01
Family and medical leave is typically needed by:
02
Employees with serious health conditions: Individuals who have their own serious health conditions and need time off for medical treatment and recovery.
03
Individuals caring for family members: Individuals who need to take time off work to care for a family member with a serious health condition. This can include providing support during a critical illness, childbirth, adoption, or foster care placement.
04
Parents of newborn or newly adopted children: Parents who require time off work to bond with their newborn or newly adopted child. This may involve taking maternity or paternity leave.
05
Military families: Individuals who have a family member on active duty or who are preparing for military deployment may need family and medical leave to address certain situations.
06
Individuals facing qualifying exigencies: Employees who have family members, such as a spouse, child, or parent, in the military and need time off to handle certain qualifying exigencies related to their deployment.
07
Remember, eligibility criteria for family and medical leave may vary depending on the specific laws and regulations of the country or state in which you reside. It is recommended to familiarize yourself with the applicable guidelines and consult with your employer or legal counsel for accurate information.

What is Family and Medical Leave Act (WH-380-E) Form?

The Family and Medical Leave Act (WH-380-E) is a Word document that has to be completed and signed for specified purpose. Next, it is provided to the actual addressee to provide certain information of any kinds. The completion and signing may be done manually or via a trusted tool like PDFfiller. These services help to submit any PDF or Word file online. While doing that, you can edit it depending on your needs and put an official legal electronic signature. Once done, the user ought to send the Family and Medical Leave Act (WH-380-E) to the respective recipient or several of them by mail or fax. PDFfiller includes a feature and options that make your Word template printable. It provides various settings for printing out appearance. No matter, how you will send a form after filling it out - physically or electronically - it will always look well-designed and firm. In order not to create a new document from scratch all the time, turn the original document as a template. After that, you will have an editable sample.

Family and Medical Leave Act (WH-380-E) template instructions

Once you are about to begin submitting the Family and Medical Leave Act (WH-380-E) writable form, it's important to make certain that all the required details are well prepared. This very part is highly important, due to mistakes may lead to unpleasant consequences. It is always uncomfortable and time-consuming to re-submit forcedly entire word form, letting alone the penalties came from blown deadlines. To work with your digits takes more attention. At first glimpse, there’s nothing complicated in this task. But yet, it's easy to make a typo. Professionals recommend to save all required info and get it separately in a different file. When you have a template, you can easily export this info from the file. In any case, you need to be as observative as you can to provide true and solid information. Check the information in your Family and Medical Leave Act (WH-380-E) form twice while completing all important fields. You are free to use the editing tool in order to correct all mistakes if there remains any.

How to fill out Family and Medical Leave Act (WH-380-E)

To start filling out the form Family and Medical Leave Act (WH-380-E), you will need a writable template. When using PDFfiller for completion and submitting, you can get it in a few ways:

  • Get the Family and Medical Leave Act (WH-380-E) form in PDFfiller’s catalogue.
  • Upload the available template with your device in Word or PDF format.
  • Create the writable document from scratch in PDF creator tool adding all necessary object via editor.

Whatever choice you prefer, you will have all features you need at your disposal. The difference is that the Word template from the catalogue contains the valid fillable fields, and in the rest two options, you will have to add them yourself. Nonetheless, it is quite simple and makes your document really convenient to fill out. These fields can be easily placed on the pages, you can remove them too. Their types depend on their functions, whether you’re entering text, date, or place checkmarks. There is also a signature field if you want the document to be signed by other people. You can put your own signature with the help of the signing tool. When you're done, all you've left to do is press the Done button and proceed to the form distribution.

Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.5
Satisfied
60 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

pdfFiller’s add-on for Gmail enables you to create, edit, fill out and eSign your family and medical leave and any other documents you receive right in your inbox. Visit Google Workspace Marketplace and install pdfFiller for Gmail. Get rid of time-consuming steps and manage your documents and eSignatures effortlessly.
Make sure you get and install the pdfFiller iOS app. Next, open the app and log in or set up an account to use all of the solution's editing tools. If you want to open your family and medical leave, you can upload it from your device or cloud storage, or you can type the document's URL into the box on the right. After you fill in all of the required fields in the document and eSign it, if that is required, you can save or share it with other people.
With the pdfFiller mobile app for Android, you may make modifications to PDF files such as family and medical leave. Documents may be edited, signed, and sent directly from your mobile device. Install the app and you'll be able to manage your documents from anywhere.
Family and Medical Leave Act (FMLA) entitles eligible employees to take unpaid, job-protected leave for specified family and medical reasons.
Employees who meet certain requirements and need to take leave for eligible reasons are required to file for family and medical leave.
Employees can typically fill out the necessary paperwork provided by their employer or HR department to request family and medical leave.
The purpose of family and medical leave is to provide employees with time off for certain family and medical reasons without risking their job security.
Employees may need to report their reason for requesting leave, the duration of leave needed, and any supporting documentation such as a doctor's note.
Fill out your family and medical leave online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.