U.S. · FMLA forms

FMLA Form WH-382 designation notice.

The employer notice that says whether leave counts as FMLA leave, and how much.

WH-382 is the Department of Labor's optional-use designation notice. The employer completes it. Once the employer has enough information to decide whether leave is FMLA-qualifying, it must tell the employee within five business days whether the leave is designated and counted against the FMLA entitlement. The notice must be in writing, and it must state the amount of leave counted when that amount is known.

29 CFR 825.300(d)Read November 2, 2026

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What the designation notice does

The employer, not the employee, is responsible in all circumstances for designating leave as FMLA-qualifying and for giving notice of that designation (825.300(d)(1)). DOL describes Form WH-382 as the form that informs the employee whether the leave request is approved and the amount of leave designated and counted against the FMLA entitlement. DOL also says an employer may use it to tell the employee that a certification is incomplete or insufficient and that more information is needed.

Deadlines and content, from the regulation

Worked example

A certification arrives complete on Monday, November 2, 2026. Five business days later is Monday, November 9, 2026, so the designation notice is due by then. If the employee's leave is a block of six weeks, the notice states six weeks. If it is intermittent and unpredictable, the employer states how the leave will be counted and gives the running total on request.

If the employer skips it

Under 825.300(e), failing to follow the notice rules may be interference with FMLA rights, and the employer may be liable for lost compensation and benefits, other actual monetary losses that result directly from the violation, and appropriate equitable relief. This page does not predict outcomes in a particular case.

Using the DOL form

The prototype forms are optional: an employer may use the WHD form or its own version with the same basic information. DOL also notes that an expired OMB date printed on its forms does not change the content of the required information.

Sources

Regulation text is the eCFR version current to October 29, 2026. Form descriptions are from the DOL forms page as archived and read on the date above.

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Frequently asked questions

What is FMLA Form WH-382?

It is the Department of Labor's optional-use designation notice. The employer uses it to tell an employee whether leave is designated as FMLA leave and how much leave is counted against the FMLA entitlement.

Who completes Form WH-382?

The employer. The employer is responsible in all circumstances for designating leave as FMLA-qualifying and for giving the employee notice of the designation.

When is the designation notice due?

Within five business days of having enough information to determine whether the leave is FMLA-qualifying, absent extenuating circumstances.

Does it have to be on the DOL form?

No. The notice must be in writing, and the employer may use the DOL prototype or its own form with the same basic information. A notice that leave is not FMLA leave may be a simple written statement.

How many designation notices does an employee get?

Only one for each FMLA-qualifying reason per applicable 12-month period, whether the leave is continuous, intermittent or on a reduced schedule, plus notice of any later change.

Not legal advice

This page summarizes federal regulations and agency forms and is not legal advice. State and local law can require more, and exemption and leave questions turn on the facts. An employment attorney or the Department of Labor can confirm what applies to your situation. Everything runs in your browser; nothing you enter is sent anywhere.