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Friday, July 30, 2010
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FMLA, CFRA, PDL Leave Forms
Request for Family/Medical Leave
Notice of Eligiblity Rights & Responsibilities
Certificate of Health Care Provider for Employee's Serious Health Condition
Certificate of Health Care Provider for Family Member's Serious Health Condition
Certification for Serious Injury or Illness of Covered Servicemember - For Military Caregiver Leave
Certification of Qualifying Exigency for Military Family Leave (National Guard or Reserves Only)
Designation Notice
Retention of Insurance Form
Leave Follow-Up Notification
Important Information for Health Care Provider (Definition of Serious Health Condition under FMLA)
Other Leave Forms
Notice of Leave Options and Responsibilities
Medical Leave of Absence Request & Medical Certification
Non-Medical Leave of Absence Request
Leave of Absence Approval Notice
Medical Leave of Absence Approval Notice
Return from Leave Form
FMLA, CFRA, PDL Information
Use of Accruals for Family and Medical Leave Chart
Family and Medical Leave Fact Sheet
FMLA/CFRA/PDL Frequently Asked Questions
Pregnancy Disability Leave (PDL) Frequently Asked Questions
Department Responsibilities Checklist
Employee Responsibilities Checklist
FMLA, CFRA, PDL Outside Links
Family and Medical Leave Act (FMLA) Notice (US Dept. of Labor)
California Family Rights Act (CFRA) Notice (CA Dept. of Fair Employment & Housing)
California Family Rights Act (CFRA) Brochure (CA Dept. of Fair Employment & Housing)
Pregnancy Disability Leave (PDL) Notice (CA Dept. of Fair Employment & Housing)
Pregnancy Leave Brochure (CA Dept. of Fair Employment & Housing)
Other Leave Forms (Sheriff's Dept Only)
Official Leave of Absence Request
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