Get the free California Pregnancy Disability Act (PDL)
                                Show details
                            
                            Reset Recertification of Health Care Provider for
Employee\'s Serious Health ConditionCOUNTY OF RIVERSIDE
Human Resources DepartmentSECTION I: For Completion by the EMPLOYERDepartmentLast Day WorkedPrint
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    How to fill out california pregnancy disability act
                        How to fill out california pregnancy disability act
01
                                    To fill out California Pregnancy Disability Act, follow these steps:
                                
                                                                            
                                        02
                                     Obtain the necessary forms from your employer or from the California Department of Fair Employment and Housing (DFEH) website.
                                
                                                                            
                                        03
                                     Fill out the Employee’s Request for Pregnancy Disability Leave form. Provide your personal information, including your name, address, employee identification number, and contact details.
                                
                                                                            
                                        04
                                     Indicate the dates on which you will begin and end your pregnancy disability leave.
                                
                                                                            
                                        05
                                     Provide medical certification from your healthcare provider that verifies your pregnancy and the need for disability leave.
                                
                                                                            
                                        06
                                     Submit the completed form and medical certification to your employer or the appropriate department in your organization.
                                
                                                                            
                                        07
                                     Keep a copy of the filled-out form and medical certification for your records.
                                
                                                                            
                                        08
                                     If you encounter any issues or have questions, contact the DFEH for assistance.
                                
                                                                            
                                        Who needs california pregnancy disability act?
01
                                    California Pregnancy Disability Act is needed by pregnant employees who are experiencing a disability due to pregnancy, childbirth, or related medical conditions.
                                
                                                                            
                                        02
                                    It provides protection and benefits to eligible employees who require time off from work for pregnancy-related disabilities.
                                
                                                                            
                                        03
                                    These disabilities may include severe morning sickness, pregnancy-induced hypertension, gestational diabetes, and recovery from childbirth.
                                
                                                                            
                                        04
                                    The act ensures that affected employees can take up to four months of job-protected leave and receive disability benefits without fear of discrimination or retaliation.
                                
                                                                            
                                        05
                                    It is essential for pregnant individuals who work in California to familiarize themselves with the provisions of this act and their rights as employees.
                                
                                                                            
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                                    What is california pregnancy disability act?
The California Pregnancy Disability Act (PDA) is a state law that prohibits employers from discriminating against employees based on pregnancy, childbirth, or related medical conditions.
                                    Who is required to file california pregnancy disability act?
Employers with five or more employees are required to provide reasonable accommodations for employees affected by pregnancy, childbirth, or related medical conditions under the California PDA.
                                    How to fill out california pregnancy disability act?
To fill out the California Pregnancy Disability Act, employers must provide employees with the necessary forms to request reasonable accommodations, ensure compliance with state law, and maintain confidentiality of employee medical information.
                                    What is the purpose of california pregnancy disability act?
The purpose of the California Pregnancy Disability Act is to protect pregnant employees from discrimination in the workplace and ensure they receive reasonable accommodations to support their health and well-being during pregnancy and childbirth.
                                    What information must be reported on california pregnancy disability act?
Employers must report information related to the employee's pregnancy, childbirth, or related medical conditions, such as requested accommodations, doctor's notes, and any changes to the employee's work schedule or duties.
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