When an employee requests FMLA military caregiver leave to care for a covered veteran, the employer can ask for this certification. The veteran's health care provider confirms the injury or illness was incurred or aggravated in the line of duty on active duty and identifies which of four qualifying categories applies, such as a VA service-related disability rating of 50 percent or higher.
The employer or employee fills in Section I and the employee or veteran Section II (discharge date and type, branch, rank and unit); the veteran's health care provider completes Section III, Parts A to C.
Download the current version from the source each time; forms change without notice.
Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave under the Family and Medical Leave Act
Certificado para lesión o enfermedad grave de un veterano para la licencia de cuidador de un militar conforme a la Ley de Ausencia Familiar y Médica
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WH-385 certifies the serious injury or illness of a current servicemember in the Regular Armed Forces, National Guard or Reserves. WH-385-V is for a covered veteran and asks for discharge details and which of four veteran categories applies, such as a VA disability rating of 50 percent or more.
Yes. One qualifying category is a physical or mental condition for which the veteran has a VA Service Related Disability Rating of 50 percent or higher, based in whole or in part on the condition that creates the need for military caregiver leave. The provider may rely on VA representative determinations.