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  • Family Leave - CalHR Website
    The federal Family and Medical Leave Act and the California Family Rights Act give eligible employees certain rights The files linked from this page are PDFs and require Adobe Reader – get a free download
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    In order to access the Duty Statement template sample, click the link, save the form to your computer, and open the form via Adobe Acrobat or Adobe Acrobat Reader
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    The Department has developed optional-use forms which can be used by employers to provide required notices to employees, and by employees to provide certification of their need for leave for an FMLA qualifying reason
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    This form summarizes employer obligations as provided in federal and state family and medical leave laws (FMLA CFRA) and the California Pregnancy Disability Leave law
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    Provide this form if you're an employer covered by the federal Family and Medical Leave Act (FMLA) or the California Family Rights Act (CFRA) and either an employee has requested a leave of absence or you recognize the need
  • CFRA FMLA Medical Certification Form - California Employers Association
    This Civil Rights Department form verifies an employee's need for FMLA or CFRA leave due to a serious health condition It must be completed by the employee's health care provider
  • Information for Health Care Providers to Complete a Certification under . . .
    Is completing a specific form required? The FMLA does not require the use of any specific certification form Some employers have developed their own forms and request employees use them, which is permissible if they meet all legal requirements
  • California FMLA Forms, Laws Informational Guides
    Find up-to-date California FMLA forms, faqs and more Sign up for a free trial and get access to expert insights and leave tracking





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