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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 OMB Control Number: 1235-0003 Expires:
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How to fill out wh-385-v - semo
How to fill out wh-385-v:
01
Start by gathering all the necessary information. You will need the employee's name, mailing address, phone number, job title, and Socia..
02
Next, check the appropriate boxes to indicate the reason for the leave. The options include serious injury or illness, military caregiver leave, or qualifying exigency leave..
03
In the section labeled "Certification of Health Care Provider," provide the healthcare provider's name, address, and phone number. They will also need to sign and date the form..
04
Fill out the employee's information, including their job title, work address, and phone number.
05
Make sure to include the date the serious health condition began and the expected duration of the leave.
06
If the leave is due to a family member's serious health condition, provide their name and the relationship to the employee.
07
Finally, review the completed form for accuracy and sign and date it before submitting it to the appropriate authority.
Who needs wh-385-v:
01
Employees who need to take a leave of absence from work due to a serious injury or illness.
02
Employees who require time off to care for a family member with a serious health condition.
03
Employees who are eligible for qualifying exigency leave due to a family member's military service.
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What is wh-385-v?
wh-385-v is a form used to certify an employee's serious health condition for FMLA purposes.
Who is required to file wh-385-v?
Employers are required to file wh-385-v when an employee requests FMLA leave for a serious health condition.
How to fill out wh-385-v?
wh-385-v should be filled out by the healthcare provider treating the employee's serious health condition.
What is the purpose of wh-385-v?
The purpose of wh-385-v is to provide medical certification of the employee's serious health condition and need for FMLA leave.
What information must be reported on wh-385-v?
wh-385-v must include the employee's name, the nature of the serious health condition, the date the condition began, expected duration, and other relevant medical information.
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