Military Leave - Medical

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• FMLA - Military Exigency for Family Form - WH-384

  Form to be completed by agency and then employee seeking FMLA leave due to a qualifying exigency due to a military member’s covered active duty or call to covered active duty status

• FMLA - Military Family Leave - Med Certificate for Military Family Member - WH-385

  Form to be completed by an agency, employee and then health care provider when an employee requests leave under the FMLA to care for a family member who is a current member of the Regular Armed Forces, the National Guard, or the Reserves who is undergoing medical treatment, recuperation, or therapy, is otherwise in outpatient status, or is otherwise on the temporary disability retired list for a serious injury or illness.

• FMLA - Military Family Leave - Med Certificate for Veteran Family Member - WH-385V

  Form to be completed by an employee and then health care provider when the employee seeks military caregiver leave under the FMLA leave due to a serious injury or illness of a covered veteran; this certification must provide sufficient facts to support the request for leave.

• FMLA Statement of Qualifying Family Relationship FMLA-HR4

  For Family Leave or Military Family Leave