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Click ‘Get Form’ to open the 382 form in the editor.
Begin by entering the recipient's name and the date at the top of the form. This ensures that your notice is properly addressed.
In the section regarding your leave request, clearly indicate whether your FMLA leave is approved or not. Use checkboxes for clarity.
Specify the amount of time that will be counted against your leave entitlement. If applicable, note if you are using paid leave during this period.
If additional information is required for certification, detail what is needed in the provided space to avoid delays in processing your request.
Finally, review all entries for accuracy before saving or exporting your completed form. This step is crucial to ensure compliance with FMLA requirements.
Start filling out your 382 form online for free today and streamline your documentation process!
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.
What is the MC 382 form?
MC 382 (6/18) Use this form to appoint an individual or organization as your Medi-Cal authorized representative. Your authorized representative may act for you on all duties related to your Medi-Cal eligibility and enrollment. Or, you may also limit duties. You may cancel or change this appointment at any time.
Why are doctors hesitant to fill out FMLA paperwork?
Because of doctors workloads and the inability in many situations to render a precise prognosis about the frequency and duration of a condition, it can be a challenge when they have to complete patients FMLA request forms.
What mental health conditions qualify for FMLA?
Chronic conditions (e.g., anxiety, depression, or dissociative disorders) that cause occasional periods when an individual is incapacitated and require treatment by a health care provider at least twice a year.
What is the purpose of an authorized representative?
An Authorized Representative is an individual with legal authority to bind the government entity (e.g., the Chief Executive Officer of the government entity). An Authorized Representative must sign the Acceptance of Award terms for it to be valid.
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What is form MC 031 used for?
A Letter of Authorization authorizes payment for medical services received over 12 months before the current month. A Letter of Authorization is not required if the medical services were received within 12 months of the current month. Months still showing on the [INQM] screen in MEDS do not require an LOA.
Related links
WH-382 (.pdf)
While use of this form is optional, a fully completed Form WH-382 provides employees with the information required by 29 C.F.R. 825.300(d), 825.301, and
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