The Family and Medical Leave Act and California Family Rights Act (“FMLA / CFRA”) provide eligible employees the opportunity to take unpaid, job-protected leave for certain specified reasons.

The maximum amount of leave an employee may use is either 12 or 26 weeks within a 12-month period depending on the reasons for the leave.

Qualifications-Worked 1,250 hours in the past 12 months-Dr note and/or backup documentation required.

FMLA/California Family Rights Act

Health of Employee

PSL-F007A Application for Family Medical Leave-Health of Employee

Certification of Health Care Provider for Employee’s Serious Health Condition

Family Member’s Serious Health Condition

PSL-F007b – Application for FMLA – Health of Family Member (includes Baby Bonding)

Certification of Health Care Provider for Family Member’s Serious Health Condition