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Explanation of Leave Documents

This form should be used for Family Medical Leave Act, California Family Rights Act, Pregnancy Disability, and Parental time related leaves. Please follow this link to submit your request for leave: Request for Leave
This form should be used for leaves not covered under Family Medical Leave Act, California Family Rights Act, Pregnancy Disability, and Parental time related leaves. Please follow this link to submit your request for leave: Leave of Absence Request
The Notice of Eligibility, Rights and Responsibilities, and Medical Certification- Employee form provides employees with information regarding their Family Medical Leave Act (FMLA) and California Family Rights Act (CFRA) eligibility as well as their rights and responsibilities related to taking an FMLA and/or CFRA related leave. 
 
The medical certification portion of the form is for the treating primary care physician to complete on behalf of the employee. While an employee may be eligible for FMLA and/or CFRA, the medical certification provides information of whether the health condition meets the threshold for the leave protections.
The Notice of Eligibility, Rights and Responsibilities, and Medical Certification- Employee's Family Member form provides employees with information regarding their Family Medical Leave Act (FMLA) and California Family Rights Act (CFRA) eligibility as well as their rights and responsibilities related to taking an FMLA and/or CFRA related leave. 
 
The medical certification portion of the form is for the treating primary care physician to complete on behalf of the employee's family member. While an employee may be eligible for FMLA and/or CFRA, the medical certification provides information of whether the employee is considered a caregiver and if the employee's family member's health condition meets the threshold for the leave protections.
The Designation Notice informs the employee if their leave has been designated as a FMLA and/or CFRA related leave. This is driven by the information provided in the medical certification document.