Leave Management Information

• Family and Medical Leave Act (FMLA) Notice - DOL
• California Family Care and Medical Leave (CFRA) and Pregnancy Disability Leave - CRD
• Pregnancy Disability Leave (PDL) Fact Sheet - CRD
• Uniformed Services Employment and Reemployment Rights Act (USERRA)
• Reproductive Loss Leave Fact Sheet - CRD

California State Unemployment Insurance and Disability Programs (EDD)

• Notice to Employees (UI,DI, PFL) 
  (Unemployment Insurance, Disability Insurance, Paid Family Leave)
• Disability Insurance Provisions
• Disability Insurance Benefit Amounts
• Paid Family Leave Brochure

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