FMLA Forms Certification of Health Care Provider for Employee’s Serious Health Condition under the Family and Medical Leave Act – Form WH-380-E Certification of Health Care Provider for Family Member’s Serious Health Condition under the Family and Medical Leave Act – Form WH-380-F Notice of Eligibility & Rights and Responsibilities under the Family and Medical Leave Act – Form WH-381 Designation Notice under the Family and Medical Leave Act – Form WH-382