Leave Management Information

• Family and Medical Leave Act (FMLA) Notice – DOL Rev. 4/2023
• California Family Care and Medical Leave (CFRA) and Pregnancy Disability Leave - CRD
• Pregnancy Disability Leave (PDL) Fact Sheet – CRD Rev. 1/2023
• Uniformed Services Employment and Reemployment Rights Act (USSERA) Rev. 5/2022
• Reproductive Loss Leave Fact Sheet - CRD
• Bereavement Leave Fact Sheet - CRD 3/2023

California State Unemployment Insurance and Disability Programs (EDD)

• Notice to Employees (UI, DI, PFL) Rev. 1/2022 
  
• Disability Insurance Provisions Rev. 1/2022
• Disability Insurance Benefit Amounts
• State Disability Insurance Program Fact Sheet Rev. 1/2025
• Paid Family Leave Brochure Rev. 1/2025
• Paid Family Leave Handout Rev 1/2025
• Transitioning from Disability Insurance to Paid Family Leave 2/2022
• Guide for Completing a Claim for Paid Family Leave (PFL) Benefits 12/2020

Forms

All Leave Requests

• Request for Leave of Absence - Rev 2/2023

Certification Forms

• SJC Health Care Provider's Certification Form (For Employees Only)
• SJC Health Care Provider's Certification Form (For Family Member)
• SJC Certification for Serious Injury or Illness of Covered Servicemember (FMLA)
• SJC Certification of Qualifying Exigency for Military Family Leave (FMLA)

Notification Letters

• Notice of Eligibility and Rights & Responsibilities (FMLA, CFRA or PDL) - Rev 2/2023
• Designation Notice (FMLA, CFRA or PDL) - Rev 2/2023