Wh 382 form printable 2026

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The document is a Designation Notice under the Family and Medical Leave Act (FMLA) issued by the U.S. Department of Labor. It outlines the employer's responsibilities in designating leave as FMLA-protected, informing employees about their leave entitlements, and the process for requesting additional information or certifications. The notice includes sections for employers to communicate approval or denial of FMLA leave requests, specify any additional information needed, and detail return-to-work requirements. It emphasizes that employers must provide written notice to employees regarding their FMLA leave status.

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

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