HR Management Compliance

DOL Releases New FMLA Mannequin Varieties


Final month, the U.S. Division of Labor (DOL) launched new mannequin kinds that employers can use to coordinate worker go away beneath the Household and Medical Depart Act (FMLA). Launched on July 16, 2020, the revised medical certification and notices kinds have been instantly efficient and out there for employers to make use of.


The DOL additionally revealed a Request for Information (RFI) within the Federal Register looking for the general public’s suggestions on the regulation’s administration and use. The up to date FMLA kinds have a revision date of “June 2020,” and record an expiration date of “6/30/2023.”

In line with the DOL, the brand new kinds “are less complicated and simpler for workers, employers, go away directors and healthcare suppliers to know and use.”  The kinds comprise new options equivalent to extra questions that customers can reply by checking a response field and digital signature options.

The DOL believes the modifications will cut back the time customers spend offering info, enhance communications between go away candidates and directors and cut back the chance of violations.

All the mannequin kinds are actually out there for employers and workers to make use of in assembly their FMLA notification and certification obligations:

The mannequin kinds are electronically fillable PDFs that may be saved and transmitted electronically. The FMLA doesn’t require the usage of any particular kind so employers can use the company’s mannequin kinds or they might use their very own kinds, so long as they supply the identical primary discover info and require the identical certification info.


Though the DOL has launched new variations of the FMLA certification and see kinds, it must be famous that the Division has not revealed a mannequin go away kind to be used with the Households First Coronavirus Response Act (FFCRA). In line with the DOL, the assorted FMLA kinds usually are not relevant to FFCRA go away. On its FMLA question and answer webpage, the Division states the next: 

 Do these kinds [FMLA] have any applicability to the Households First Coronavirus Response Act (FFCRA)? No. The FFCRA has totally different documentation necessities which might be discovered at 29 CFR 826.100 or Please see question & answer items #15 and #16 for extra info.” 

In consequence, employers might use their very own kinds for FFCRA go away, however they need to embrace the essential info as delineated by the DOL.

Nancy R. McDermott is a Senior Authorized Content material Specialist for BLR and has served because the editor-in-chief for The Personnel Advisor since 2000.

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