Wh 382 form printable 2026

Get Form
designation notice Preview on Page 1

Here's how it works

01. Edit your designation notice online
Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send 382 designation notice via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out wh 382 form printable with our platform

Form edit decoration
9.5
Ease of Setup
DocHub User Ratings on G2
9.0
Ease of Use
DocHub User Ratings on G2
  1. Click ‘Get Form’ to open the WH-382 form in the editor.
  2. Begin by filling out Section I, which requires employer details. Enter the date, employer's name, and employee's name.
  3. In Section I, select the reason for leave from the provided options, ensuring you check all that apply.
  4. Next, indicate whether the FMLA leave request is approved or not. If not approved, specify the reasons in the designated area.
  5. If additional information is needed (Section II), clearly outline what is required from the employee to complete their request.
  6. Finally, in Section III, confirm approval of FMLA leave and provide details on how much leave will be counted against their entitlement.

Start using our platform today to easily fill out your WH-382 form for free!

See more wh 382 form printable versions

We've got more versions of the wh 382 form printable form. Select the right wh 382 form printable version from the list and start editing it straight away!
Versions Form popularity Fillable & printable
2020 4.8 Satisfied (72 Votes)
2009 4.3 Satisfied (92 Votes)
be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
Contact us
If the employee has already used up their 12 weeks of leave, there is a box to check off to indicate FMLA leave denial due to exhaustion of leave on the WH-382. In other words, the WH-381 may show theyre eligible for FMLA, but the WH-382 will indicate that leave is denied.
Who can fill out FMLA paperwork for mental health conditions? You can ask a qualified healthcare provider, which can include a psychologist, therapist, or clinical social worker, to fill out the necessary paperwork.
Designation Notice, form WH-382 informs the employee whether the FMLA leave request is approved; also informs the employee of the amount of leave that is designated and counted against the employees FMLA entitlement.
A mental health counselor can fill out FMLA paperwork. They would be a health care provider and that is sufficient.
Bring the form with you. Tell them what you are experiencing, why you are experiencing it, and how it is affecting your health and well being. Let them know that you think you would benefit from time off work, but need their support to do so.

Security and compliance

At DocHub, your data security is our priority. We follow HIPAA, SOC2, GDPR, and other standards, so you can work on your documents with confidence.

Learn more
ccpa2
pci-dss
gdpr-compliance
hipaa
soc-compliance
be ready to get more

Complete this form in 5 minutes or less

Get form

People also ask

To receive FMLA leave, your employer may require you to submit a medical certification completed by your healthcare provider that attests to your serious condition and need for leave. Your employer has to give you at least 15 days to obtain this certification.
WHD website at .dol.gov/agencies/whd/fmla. Either the employee or the employer may complete Section I. While use of this form is optional, this form asks the health care provider for the information necessary for a complete and sufficient medical certification, which is set out at 29 C.F.R.

382 medical