The Department of Labor (DOL) maintains model forms to help employers meet their notification obligations under the Family and Medical Leave Act (FMLA). Employers are not required to use the DOL’s model forms; they can customize the model forms or create their own FMLA forms.
Every three years, the DOL must submit its model FMLA forms to the federal Office of Management and Budget (OMB) for approval for continued use. The OMB’s approval for the current FMLA forms expires in 2018. This expiration date is included on the model forms in the upper right corner. The DOL has requested that the OMB reauthorize the model FMLA forms for another three-year period, until 2021, without proposing any substantive changes to the forms.
Employers may continue to use the DOL’s current model forms until new ones are released. The updated model forms are expected to be the same as the current forms, except they will have a 2021 expiration date in the upper right corner.
Employers that use the model FMLA forms can monitor the DOL’s FMLA webpage for updated model forms.
Model FMLA Forms
To administer FMLA leaves, employers must provide certain notices to employees. Employers may also require that employees provide certifications to substantiate their eligibility for certain types of FMLA leave.
The DOL has provided model notices and certifications to help employers administer FMLA leaves. The DOL’s model FMLA forms are optional; employers may customize the DOL’s model forms or create their own FMLA forms.
|The DOL’s model FMLA forms include:||· A notice of FMLA eligibility and rights and responsibilities (Form WH-381);|
· An FMLA designation notice (Form WH-382);
· A health care provider’s certification form for an employee’s serious health condition (WH-380-E);
· A health care provider’s certification form for a family member’s serious health condition (WH-380-F);
· A certification of qualifying exigency for military family leave (WH-384);
· A certification for serious injury or illness of a covered service member (WH-385); and
· A certification for serious injury or illness of a veteran for military caregiver leave (WH-385-V).
Expiration of Model FMLA Forms
The current model FMLA forms originally had an expiration date of May 31, 2018, in the upper right corner. This date is linked to the requirement that the DOL submit its FMLA forms to the OMB for approval every three years. The DOL recently submitted its model FMLA forms to the OMB for a three-year extension, without proposing any substantive changes to the model forms. The model forms automatically receive a month-to-month extension while they undergo review by the OMB. Based on this process, the model forms’ expiration date was recently extended by one month, until June 30, 2018.
It is expected that the OMB will approve the extension and that the DOL will issue new model FMLA forms with an expiration date in 2021. In the meantime, employers may continue to use the DOL’s model forms with the June 30, 2018 expiration date. The DOL will continue to update this expiration date on a month-to-month basis while waiting for the OMB’s approval. Once the DOL receives approval from the OMB and updates its model forms for a 2021 expiration date, employers should begin using the updated versions.