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Family Medical Leave (FML)

The following links provide information on Family and Medical Leave (FML), guidelines for administering FML and pregnancy disability leave requests and required notifications and certifications.

Please contact Accommodation and Leave Services to discuss concerns regarding FMLA/California Family Rights Act (CFRA).

FML Fact Sheet

  • A step-by-step guide to administering routine FML requests and pregnancy disability leave requests (pdf) (August 2010)

Notices

  • General Notice regarding Family Medical Leave Act—Employee Rights and Responsibilities (pdf)
  • General Notice regarding California Family Rights Act and Pregnancy Disability Leave Law (pdf)
  • Notice of Eligibility and Rights & Responsibilities (pdf)
  • Designation Notice (pdf)

Certifications

  • Certification of Health Care Provider for Employee's Serious Health Condition (pdf)
  • Certification of Health Care Provider for Family Member's Serious Health Condition (pdf)
  • Certification of Health Care Provider for Employee's Pregnancy Disability (pdf)
  • Return to Work Certification (pdf)
  • Certification For Qualifying Exigency Leave (pdf)
  • Certification for Military Caregiver Leave (pdf)

Additional resources

  • Sample Letters referenced in FML Guidelines (scroll to bottom of page)
  • Leave of Absence Request (pdf)
  • Declaration of Relationship for Family and Medical Leave (pdf)
  • Exempt Employee Workweek Agreement for FML Leaves Taken on a Reduced Schedule or Intermittent Basis (pdf)
See also
  • US Dept. of Labor: FMLA information
  • Returning to work
  • Back to all leaves information
Policies & procedures
  • Absence from Work (UC Policy) (pdf)
  • PPSM-43: Leaves of Absence (UCOP Procedures) (pdf)
  • FML Guidelines
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Email
Phone: (510) 987-0649
Fax: (510) 987-0682

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