The FMLA and WFMLA offer leave entitlements to eligible employees related to the following circumstances:

• Leave for the employee’s own serious health condition.

• Leave to care for certain individuals who have a serious health condition.

• Leave connected to the birth of a child, the adoption of a child, and certain foster placements.

The federal FMLA also provides for periods of leave and various related rights to eligible employees for the following:

• Certain qualifying exigencies that arise when an eligible employee’s spouse, son, daughter, or parent is on covered active duty or has been notified of an impending call or order to covered active duty; and 

• To care for a covered service member with a serious injury or illness. The employee must be the spouse, son, daughter, parent, or next of kin of the covered service member.

Separate from the WFMLA and FMLA, state law also provides for work-related leave and certain related rights for eligible employees who serve as a bone marrow or organ donor.

FMLA Forms 

• FMLA Employee Leave Request Form

• FMLA Domestic Partnership Form

• WH-380-E Certification of Health Care Provider for Employee’s Serious Health Condition (PDF)

• WH-380-F Certification of Health Care Provider for Family Member’s Serious Health Condition (PDF)

• WH-381 Notice of Eligibility and Rights & Responsibilities (PDF)

• WH-382 Designation Notice (PDF)

• WH-384 Certification of Qualifying Exigency For Military Family Leave (PDF)

• WH-385 Certification for Serious Injury or Illness of Covered Servicemember -- for Military Family Leave (PDF)

• WH-385-V Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave (PDF)