It is the employer’s responsibility to designate leave as family and medical leave and to give the employee notice of that designation. These forms, designed for use in California, contain the information you need to designate leave as FMLA/CFRA or FMLA/PDL, to provide conditional approval of the request for leave if more information is needed, or to deny the request.

These forms contain additional information that must be communicated to an employee regarding your company’s approval of FMLA/CFRA or FMLA/PDL leave, including:

• Proper documentation of the amount of time taken
• Notice to the employee of the amount of leave that will be counted against the employee’s FMLA/CFRA or FMLA/PDL entitlements
• Return to work requirements
• What benefits an employee may be eligible for
• The use of paid time off during FMLA/CFRA or FMLA/PDL leave

• Created for use in California
• Easy-to-use, fill-in-the-blank format
• Downloadable, PDF file for you to personalize