Download Exclusive Wh-380-e May 2026

The WH-380-E is an optional-use form provided by the Wage and Hour Division of the DOL. It allows employers to verify that an employee’s request for leave is due to a legitimate, serious health condition as defined by federal law. While employers can use their own custom forms, they cannot require more information than what is already included on the official WH-380-E.

To download , you can access the official fillable PDF directly from the U.S. Department of Labor (DOL) . This form, titled "Certification of Health Care Provider for Employee’s Serious Health Condition," is a critical document for workers requesting leave under the Family and Medical Leave Act (FMLA). What is Form WH-380-E? download wh-380-e

The document is divided into three distinct sections to ensure all necessary medical and professional details are captured: The WH-380-E is an optional-use form provided by