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The FMLA entitles eligible employees of covered employers to take unpaid, job-protected leave for specified family and medical reasons with continuation of group health insurance coverage under the same terms and conditions as if the employee had not taken leave.
Forms. Claim for Paid Family Leave (PFL) Benefits (DE 2501F) - English: You must submit an original form provided by the EDD. This form cannot be downloaded or reproduced. To submit the DE 2501F electronically, visit How to File a Paid Family Leave Claim in SDI Online.
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. These forms are electronically fillable PDFs and can be saved electronically.
Download: FMLA Absence Tracking Calendar. . This spreadsheet contains formulas to calculate the FMLA leave time used and available to an individual employee. It also includes a separate...
The FMLA and the CFRA are federal and state leave laws that allow eligible employees of covered employers to take unpaid, job-protected leave. Take medical leave for yourself. Care for a family member who is seriously ill. Bond with a new child.
☐ Obtain FMLA forms from the U.S. Department of Labor or create similar internal forms. ☐ Determine whether an employee's request for leave is for one of the following FMLA-qualifying reasons:
This notice is provided pursuant to the Information Practices Act of 1977. The department listed below is requesting the information specified on this form: Department/Division. The information collected will be used for purposes of determining your eligibility for FMLA/CFRA/PDL benefits.
