Other Form WH-381

2025 Printable Template

Great Trustpilot stars 42,014 reviews on

This website is not affiliated with any government agency or tax authority.
Form last updated: 03/2024. Please verify this is the current version before use.

Easily complete & submit your WH-381 form

Follow these simple steps to fill, sign, and send your WH-381 form online.

Fill form
Step 1

Fill out your form

Our user-friendly editor helps you quickly enter personal & business details in the WH-381 template.

Sign form
Step 2

Sign the form

Add your electronic signature to the fillable WH-381 form to certify it came directly from you.

Send form
Step 3

Send it to the requester

Download and instantly print or share your signed WH-381 with the requester.

What is a WH-381 used for?

Form WH-381 is used under the Family and Medical Leave Act (FMLA) to notify employees of their eligibility for leave and to outline their rights and responsibilities. It helps ensure employees are informed about their entitlements and the necessary steps when requesting leave for family or medical reasons.

Who needs to fill out a WH-381 form

Employers must provide this form to employees who request FMLA leave to inform them of their eligibility and rights.

How to fill out a WH-381 online?

Follow these steps to complete your WH-381 form online.

Step 1
Step 1
Employers should access the form from the Department of Labor's website.
Step 2
Step 2
Complete Part A to verify employee eligibility by entering relevant work details.
Step 3
Step 3
Fill out Part B to inform the employee of their rights and responsibilities, including the deadline for medical certification.
Step 4
Step 4
Provide the completed form to the employee and retain a copy for records.

Ready to Fill Your Form WH-381?

Start filling out your form online in minutes. Fast, secure, and completely free.

Frequently Asked Questions

Find quick answers to common questions about our PDF editor.

It details eligibility for FMLA leave, employee rights, and responsibilities, along with employer obligations.

Employees generally have 15 calendar days to complete and return the medical certification after the employer requests it.

Key employees may face different reinstatement rules under FMLA, particularly if their absence would cause significant economic harm to the employer.

/ 1
100%