Form Wh 380 E 2025. For download, please click on the certification of health care provider for employee’s serious health condition (family and medical leave act form wh 380 e). The us department of labor does provide official fmla forms for employers and employees to complete, including the certification of health care provider of employee’s serious health.
Certification of health care provider for employee’s serious health condition under the family and medical leave act. While use of this form is optional, this form asks the health care provider for the information necessary for a complete and sufficient medical certification, which is set out at 29 c.f.r.