FMLA/CFRA/PDL Forms
This comprehensive and detailed packet contains all appropriate and required forms for administering FMLA, CFRA and PDL in California. The packet includes:
- Notice of Eligibility and Rights & Responsibilities for FMLA, CFRA and PDL,
- FMLA, CFRA and PDL Leave Request Form
- Certification of Health Care Provider for FMLA, CFRA and PDL
- Sample Pregnancy Disability Leave of Absence Policy
- Certification for Military Leave for Qualifying Exigency under the FMLA
Beyond the federal FMLA, California has some of the most protective and complex requirements for personal, family, and parental leaves. Managing these leaves compliantly and effectively is one of the biggest challenges faced by employers.
The California Family Rights Act (CFRA) requires employers with at least five employees to provide up to 12 workweeks of unpaid job-protected leave during any 12-month period for a wide (and expanding) range of covered reasons, including to bond with a new child.
The Pregnancy Disability Leave (PDL) is a California state law that requires all employers to provide eligible employees with unpaid, job-protected leave in the event of a pregnancy, childbirth, loss of pregnancy, and/or pregnancy-related physical and mental conditions. Eligible employees may take up to four months of leave per pregnancy and may be eligible and/or qualify for leave protections under FMLA and/or CFRA (used for parental bonding time).