FMLA Designation Notice Form (WH-382)

Summary: This sample Leave of Absence (FMLA) form, “FMLA Designation Notice (WH-382),” can be used in the workplace to address benefits & leave issues. Download this Leave of Absence (FMLA) sample form to your computer or print it out.

Click on this button to download/view the document.

View all resources on Leave of Absence (FMLA)

Featured Free Resource:

Cost Per Hire Calculator

Email Address

Important: The email you enter is not public,
shared in anyway, or displayed on this site.

* *

Re-enter Email Address

* *

First Name

Last Name

BLR, a division of Simplify Compliance LLC

5511 Virginia Way, Suite 150

Brentwood, TN 37027

800-727-5257

HCMPWS1

Copyright © 2024 Business & Legal Resources. All rights reserved. 800-727-5257
This document was published on https://Compensation.BLR.com
Document URL: https://compensation.blr.com/timesavers/compensation-forms/Leave-Benefits/FMLA-Leave-of-Absence/FMLA-Designation-Notice-WH-382-For-Use-Beginning-J