Family Medical Leave Act (FMLA)

• Employee Rights Under the Family and Medical Leave Act of 1993 - Describes employee entitlements, responsibilities and benefits coverage.
• Family Care and Medical Leave Application - Form to be completed to request Family Care and Medical Leave.
• Certification of Health Care Provider - Used by employee family member's health care provider to certify medical condition.

For assistance with the Family Care and Medical Leave process, contact the Disability Leaves Office at 916-278-3522.