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Certification of Serious Injury or Illness of Current Service member for Military Leave (FMLA) Notice to the EMPLOYER INSTRUCTIONS to the EMPLOYER: The Family and Medical Leave Act (FMLA) provides

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How to fill out wh-385-vpdf

01

Download the WH-385-V form from the official Department of Labor website.

02

Fill out the employee information section including name, address, social security number, and contact information.

03

Provide details of the covered service member including their name, relationship to the employee, and branch of the military.

04

Complete the certification of qualifying exigency form if applicable.

05

Sign and date the form before submitting it to the employer for approval.

Who needs wh-385-vpdf?

01

Employees who are requesting leave for qualifying exigency related to a covered military member.

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What is wh-385-vpdf?

wh-385-vpdf is a form used to report work-related injuries and illnesses to the Occupational Safety and Health Administration (OSHA).

Who is required to file wh-385-vpdf?

All employers with more than 10 employees are required to file wh-385-vpdf.

How to fill out wh-385-vpdf?

wh-385-vpdf can be filled out online on the OSHA website or manually and submitted by mail.

What is the purpose of wh-385-vpdf?

The purpose of wh-385-vpdf is to track and record work-related injuries and illnesses for statistical analysis and enforcement purposes.

What information must be reported on wh-385-vpdf?

Information such as the nature of the injury or illness, the name of the employee, the date of the incident, and the employer's contact information must be reported on wh-385-vpdf.

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