DOL Proposes FMLA Form Revisions

August 16, 2019 • April Mabry

DOL Proposes FMLA Form Revisions

The U.S. Department of Labor (DOL) has proposed revisions to its Family and Medical Leave Act (FMLA) forms.

DOL opened a 60-day public comment period on proposed revisions to the Wage and Hour Division’s FMLA forms, including the medical certification forms, Notice of Eligibility and Rights & Responsibilities, Designation Notice, and military-related leave certifications.

The revisions are designed to make the optional-use forms easier to understand and use. You can access the revised forms on the DOL website. Changes drafted with input from the public include:

  • Questions requiring written responses were replaced by statements with check boxes
  • Reorganization of medical certification forms to more quickly determine if a medical condition is a serious health condition as defined by the FMLA
  • Clarifications to reduce the demand on health care providers for follow-up information
  • Additional information on the notification forms to better communicate information about leave conditions to employees
  • Layout and style changes to improve readability

The public notice concerning the proposed revisions was published in the Federal Register on August 5, 2019. To comment on the proposed revisions, email Comments must be submitted by October 4, 2019. 

Employers should continue to use the current DOL forms or the model HR Library forms.

April Mabry is an assistant director at TASB HR Services. Send April an email at

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Tagged: "Department of Labor", DOL, "Family and medical leave", FMLA, Leave