Skip to main content
Skip global navigation and go to main content
FMLA Certification for Military Family Leave for Qualifying Exigency – Form WH-384 (020012)
+ / - Hover over image to Zoom

FMLA Certification for Military Family Leave for Qualifying Exigency – Form WH-384

For use when a leave request arises out of the foreign deployment of the employee’s spouse, son, daughter, or parent. Read more.

Product Code: 73593
List Price: $0.99

Overview

  • Use when employee’s request leave for a reason related to a family member’s military deployment to a foreign country.
  • Give this to employees to have completed and returned within 15 days absent extenuating circumstances.
  • Family members include spouses, children, or parents.
  • 4 pages
  • English only
  • Measures 8.5” x 11”
  • Made in the USA

Volume Pricing

Volume Pricing
Product Code Description 1 - 24 25 - 49 50 - 99
Higher quantities available. Pricing reflected in shopping cart or call 1-877-564-2333 to order.
73593
8.5" x 11"
$0.99
$0.94
$0.89

Specification

Specification
Product Code Description Language Size Sold As
73593
8.5" x 11"
English
8.5" x 11"
4 Pages

Product Questions & Answers

Product Reviews