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  1. Claim for Nonindustrial Disability Insurance - Family Care Leave (NDI-FCL) (DE 8501F): Family leave claim form for excluded state employees. If you are under the care of an accredited religious practitioner, you can download and print this form.

    • منابع EDD به فارسی

      توجه: اگر از EDD با شما تماس بگیرند، نام تماس‌گیرنده ممکن...

    • Punjabi

      ਨੋਟ: ਜੇਕਰ ਤੁਸੀਂ edd ਤੋਂ ਇੱਕ ਫ਼ੋਨ ਕਾਲ ਪ੍ਰਾਪਤ ਕਰ ਰਹੇ ਹੋ, ਤਾਂ...

    • Hindi

      Chętnie wyświetlilibyśmy opis, ale witryna, którą oglądasz,...

    • Armenian

      English. Մենք ձգտում ենք տրամադրել կենսական տեղեկատվություն...

  2. 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.

  3. 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.

  4. Californias Paid Family Leave program was created for those moments that matter. Benefits are available to care for a seriously ill family member, to bond with a new child, or to participate in a qualifying military event. Facts About California Paid Family Leave.

  5. The information collected will be used for purposes of determining your eligibility for FMLA/CFRA/PDL benefits. Individuals should not provide personal information that is not requested or required.

  6. FMLA and CFRA help to protect your job while you are receiving Disability Insurance or Paid Family Leave benefits when you must: Take medical leave for yourself. Care for a family member who is seriously ill. Bond with a new child.

  7. This page provides FMLA Information for HR Administrators. Please visit UCnet to find the following information and documents related to Family and Medical Leave resources, university policies, and contract provisions: For your convenience, here are the sample letters in Word format.

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