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Certification of Qualifying Exigency For Military Family Leave (Family and Medical Leave Act)U.S. Department of Labor Wage and Hour Division OMB Control Number: 12350003 Expires: 5/31/2018SECTION
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How to fill out form wh-384 certification of
How to fill out form wh-384 certification of
01
Obtain a blank form WH-384 certification of from the Department of Labor website or office.
02
Fill in the employee's name, address, social security number, and other personal information as required.
03
Provide details of the qualifying exigency for which the employee is requesting leave.
04
Sign and date the form in the appropriate section.
05
Submit the completed form to the employer for review and approval.
Who needs form wh-384 certification of?
01
Employees who are requesting leave under the Family and Medical Leave Act (FMLA) for a qualifying exigency related to a covered military deployment.
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What is form wh-384 certification of?
Form WH-384 certification is for the serious health condition of a covered service member for military caregiver leave.
Who is required to file form wh-384 certification of?
The covered service member or an authorized representative is required to file form WH-384 certification.
How to fill out form wh-384 certification of?
Form WH-384 certification should be filled out by providing accurate and detailed information about the serious health condition of the covered service member.
What is the purpose of form wh-384 certification of?
The purpose of form WH-384 certification is to establish eligibility for military caregiver leave under the Family and Medical Leave Act (FMLA).
What information must be reported on form wh-384 certification of?
The form WH-384 certification must include details about the covered service member's serious health condition, the need for caregiver leave, and any other relevant information.
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