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California State University FMLA/CFRA Notice and Request Form 2011-2025 free printable template

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Notification Date: Staff: Faculty: FMLA/CFA Effective Date: Unit 4 Employee may decline for FM for own illness only. * Request FMLA *Decline FMLA * Signature required below THE CALIFORNIA STATE UNIVERSITY
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How to fill out cfra form

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How to fill out California State University FMLA/CFRA Notice and Request

01
Obtain the California State University FMLA/CFRA Notice and Request form from the university's HR website.
02
Read the instructions provided on the form carefully.
03
Fill out your personal information including your name, employee ID, and contact details.
04
Specify the type of leave you are requesting (FMLA or CFRA) and the reason for the leave.
05
Indicate the start and end dates for your requested leave period.
06
Provide any necessary medical documentation or certification if required for your request.
07
Sign and date the form to certify the information provided is accurate.
08
Submit the completed form to your HR department as instructed on the form.

Who needs California State University FMLA/CFRA Notice and Request?

01
Employees of California State University who are eligible for FMLA/CFRA leave.
02
Employees needing to take time off for serious health conditions, family needs, or other qualifying reasons under FMLA/CFRA laws.
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The California State University FMLA/CFRA Notice and Request is a formal document that employees use to request leave under the Family and Medical Leave Act (FMLA) and the California Family Rights Act (CFRA). It outlines the employee's need for leave and provides necessary details for the university to process the request.
Employees of California State University who are eligible for leave under the FMLA or CFRA are required to file the California State University FMLA/CFRA Notice and Request when they need to take a leave of absence for qualifying medical or family reasons.
To fill out the California State University FMLA/CFRA Notice and Request, employees should provide their personal information, the dates of the requested leave, the reason for the leave, and any supporting documentation required. It is important to follow the instructions provided in the form carefully and ensure that all sections are completed accurately.
The purpose of the California State University FMLA/CFRA Notice and Request is to notify the university of an employee's need for leave under the FMLA or CFRA, allowing the institution to assess the request, verify eligibility, and maintain compliance with relevant labor laws.
The information that must be reported on the California State University FMLA/CFRA Notice and Request includes the employee's name, department, contact details, the dates of the leave, the reason for the leave, any medical information if applicable, and the employee's signature, confirming the request.
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