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Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave (Family and Medical Leave Act) U.S. Department of Labor Wage and Hour Division RETURN TO THE PATIENT DO NOT SEND
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Start by opening the WH-385-V draft revision final form.
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Read the instructions and guidelines provided at the beginning of the form.
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Fill out your personal information in the designated fields, including your name, address, and contact information.
04
Provide details about your employer, such as their name, address, and contact information.
05
Fill in the relevant dates, including the date of your injury or illness, the date you first received medical treatment, and the date you last worked.
06
Describe your injury or illness in detail, including the body parts affected and any specific circumstances surrounding the incident.
07
Provide information about the medical treatment you have received for your injury or illness, including the name of the medical provider and the type of treatment received.
08
If applicable, provide details about any witnesses to the incident and their contact information.
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The WH-385-V draft revision final form is needed by individuals who have experienced a work-related injury or illness and are seeking to file a workers' compensation claim.
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Employees who are covered by the Family and Medical Leave Act (FMLA) and need to provide medical certification for their absence from work may also need this form.
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The WH-385-V draft revision final is a form used to report any revision to the initial medical certification provided by a healthcare provider for an employee's serious health condition.
Employers are required to file the WH-385-V draft revision final when there is a need to update or make changes to the initial medical certification provided by a healthcare provider.
The WH-385-V draft revision final should be filled out by the employer with the updated information provided by the healthcare provider regarding the employee's serious health condition.
The purpose of the WH-385-V draft revision final is to ensure that accurate and up-to-date information is provided regarding an employee's serious health condition for leave under the Family and Medical Leave Act (FMLA).
The WH-385-V draft revision final must include the updated information provided by the healthcare provider regarding the employee's serious health condition, as well as any necessary adjustments to the initial medical certification.
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