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FMLA TOOLKIT
City of Milwaukee, Department of Employee Relations

City of Milwaukee FMLA Policy


FMLA Forms for General City Departments

  1. Leave/Benefit Substitution Designation for your approved FMLA Absence
  2. Certification of Health Care Provider for Employee's Serious Health Condition (Family and Medical Leave Act) U.S. Department of Labor; Form WH-380-E (r. 09.18)
  3. Certification of Health Care Provider for Family Member's Serious Health Condition (Family and Medical Leave Act) U.S. Department of Labor; Form WH-380-F (r. 09.18)
  4. Certification of Serious Injury or Illness of Covered Servicemember for Military Family Leave (Family and Medical Leave Act) U.S. Department of Labor; Form-385 (r. 09.18) 
  5. Certification for Serious Injury U.S. Department of Labor or Illness of a Veteran for Military Caregiver Leave (Family and Medical Leave Act) Form 385-V
    1. Certification of Qualifying Exigency for Military Family Leave (Family and Medical Leave Act) U.S. Department of Labor; Form-384 (r. 09.18) 
  6. Certification For Disabled Adult Child for Coverage under FMLA (Child Over 18)

Other Information


Required Postings

Return to Work Forms


r. 05.21.19