J. J. Keller & Associates, Inc. FMLA Certification for Serious Injury or Illness of a Current Service Member for Military Caregiver Leave, Form WH-385, English, 8.5" x 11", Made in USA, 25-Pack

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Management number 231263497 Release Date 2026/06/18 List Price US$9.90 Model Number 231263497
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The FMLA Certification for Serious Injury or Illness of a Current Service Member – Form WH-385 is an official U.S. Department of Labor document designed for employees requesting leave to care for a family member who is a current service member with a serious military-related injury or illness. This form ensures compliance with the Family and Medical Leave Act (FMLA) and provides employers with the necessary information to approve qualifying caregiver leave. Employees must return the completed form within 15 calendar days unless extenuating circumstances apply. Family members eligible for this leave include spouses, children, parents, and next of kin. The form includes clear sections for employer, employee, and healthcare provider information, making it easy to complete and process. Printed in English only, this 4-page form measures 8.5” x 11” and is proudly made in the USA. Ideal for HR departments, compliance teams, and businesses supporting military families, this form helps ensure proper documentation and adherence to federal guidelines for caregiver leave. 25-Pack.

  • FMLA Compliance: Official WH-385 form for certifying serious injury or illness of a current service member.
  • Employee Leave Requests: Use when employees request leave to care for a spouse, child, parent, or next of kin serving in the military.
  • Clear Format: English-only form with structured sections for employer, employee, and healthcare provider.
  • Convenient Size & 25-Pack: Measures 8.5" x 11" and includes 4 pages for complete documentation. 25 Pack.
  • Made in USA: High-quality, accurate form for federal compliance and HR recordkeeping.
ASIN B0GJV2QPX7
Size 8.5" x 11"
Brand J. J. Keller & Associates, Inc.
Item Weight 8 ounces
Manufacturer J. J. Keller & Associates, Inc.
Number of Items 25
Item model number 73594
Manufacturer Part Number 73594

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