Wh v 2026

See details

4.3 out of 5

179 votes

The document outlines the certification process for employees requesting military caregiver leave under the Family and Medical Leave Act (FMLA) due to a serious injury or illness of a covered veteran. It details the responsibilities of both employers and employees, including the requirement for medical certification from a qualified health care provider. The form collects information about the veteran's military service, medical condition, and the care needed from the employee. It emphasizes confidentiality and compliance with relevant regulations.

Here's how it works

01. Edit your form 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 it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out WH V with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open it in the editor.
Begin with Section I, where the employee and/or veteran must provide their information. Fill in the employer's name and address, followed by the employee's name and the veteran's name.
Indicate the relationship of the employee to the veteran by selecting from options such as Spouse, Parent, Son, Daughter, or Next of Kin.
In Part B, provide details about the veteran including discharge date and military branch. Answer whether the veteran is receiving medical treatment for an injury or illness.
Describe in Part C the care needed for the veteran and estimate how much leave will be required.
Once Section I is complete, ensure a health care provider fills out Section II. This includes confirming medical status and need for care.

Start using our platform today to easily fill out your WH V form online for free!