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.
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
