- Use when employees request leave to care for a family member who is a current service member with a serious military-related injury or illness.
- Give to employees to have completed and returned in 15 days absent extenuating circumstances.
- Family members include spouses, children, parents, and next of kin.
- 4 pages
- English only
- Measures 8.5” x 11”
- Made in the USA
FMLA Certification for Serious Injury or Illness of a Current Service Member for Military Caregiver Leave – Form WH-385
