Form WH-382 Designation Notice Under the Family and Medical Leave Act

Form WH-382 Designation Notice Under the Family and Medical Leave Act

What Is Form WH-382?

This is a legal form that was released by the U.S. Department of Labor - Wage and Hour Division on June 1, 2020 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form WH-382?
A: Form WH-382 is the Designation Notice Under the Family and Medical Leave Act.

Q: What is the Family and Medical Leave Act?
A: The Family and Medical Leave Act (FMLA) is a federal law that provides eligible employees with up to 12 weeks of unpaid, job-protected leave for certain family and medical reasons.

Q: Who is eligible for FMLA?
A: Employees who have worked for a covered employer for at least 12 months, have worked at least 1,250 hours during the previous 12 months, and work at a location where the employer has at least 50 employees within a 75-mile radius are eligible for FMLA.

Q: What is the purpose of Form WH-382?
A: Form WH-382 is used by employers to notify employees of their rights and responsibilities under FMLA, as well as to designate leave as FMLA-qualifying or non-FMLA-qualifying.

Q: What information is included in Form WH-382?
A: Form WH-382 includes the employee's name, the dates and duration of the leave, and whether the leave is designated as FMLA-qualifying or non-FMLA-qualifying.

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Form Details:

  • Released on June 1, 2020;
  • The latest available edition released by the U.S. Department of Labor - Wage and Hour Division;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form WH-382 by clicking the link below or browse more documents and templates provided by the U.S. Department of Labor - Wage and Hour Division.

Download Form WH-382 Designation Notice Under the Family and Medical Leave Act

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