Includes all applicable forms for FMLA, CFRA, and PDL
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).
These FMLA/CFRA/PDL Forms and any information contained herein are provided for informational purposes only, and do not constitute legal or tax advice. Any document(s) and information should be reviewed by your respective legal counsel for the state(s) and jurisdiction(s) in which your employees work and/or in which you operate to ensure compliance with all applicable federal and state law, and to ensure that it is appropriate to your particular situation. These forms are only intended to provide guidance and documents that relate to the CFRA and PDL laws as they relate to the FMLA. This is a non-exhaustive list of all state laws and is not intended for use in states other than California. For example, the documents focus on leave laws, while employers should also consider requirements under the Americans with Disabilities Act and/or the California Fair Employment and Housing Act. The forms do not guarantee that these laws apply to your business or your employees’ individual circumstances. Note that state and federal laws are regularly updated and new laws are implemented; therefore, you should review all relevant laws in effect for any changes. These forms are current as of the last revision date indicated in the document and are not warranted beyond that date. The materials are intended for personal use only and distribution without fpSOLUTIONS’ express written consent is prohibited.