Employee Forms (form(s) to be completed by the employee)

CFRA/FMLA Health Care Provider Certification

FMLA Certification of Qualifying Exigency for Military Family Leave

PDL/Pregnancy Health Care Provider Certification

Human Resources Forms (forms to be completed by HR)

Designation Notice

Notice of Eligibility and Rights and Responsibilities

For more information regarding the Family and Medical Leave Act

https://www.dol.gov/general/topic/benefits-leave/fmla

For more information regarding the California Family Rights Act and Pregnancy Disability Leave

https://www.dfeh.ca.gov/family-medical-pregnancy-leave

Please note: City of Fullerton employees do not pay into State Disability Insurance, and as such, state leave programs are not applicable.