FMLA Forms WH-384 Printable 2020

Certification of Exigency for Military Family Leave or WH-384 for short is a Family and Medical Leave Act form which must be filled out by the employee and submitted to the employer or the human resources of the company. Just like any other FMLA Form, to be eligible, the employee must be working for at least 12 months and meet the required services and hours of the employer.

Also, the employee must not have used the FMLA entitlement for that last 12 months.

This form must be used by the family member of the military member, not the military member himself. The only thing regards to the military member is that he or she must be called for active duty or on covered active duty. Along with the WH-384 FMLA Form, a few other documentations are needed to support the form.

  • You must attach a copy of the military member’s covered active duty orders to your WH-384.
  • You must attach a document from the military certifying that the military member is on covered active duty or notified of an impending call to it.
    • or you must provide your employer with the sufficient written proof that the military member has called on covered active duty or on covered duty prior to submitting WH-384.

Getting the WH-384 Form PDF

The U.S. Department of Labor provides all the FMLA forms. The easiest way to get and complete it is from dol.gov. Upon opening the form on your browser, you can start filling out online. After you complete it, you can save it for later or print it directly off of your browser without the need for any third party software.

Complete WH-384 from Department of Labor

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