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FMLA/CFA/PDL Designation Notice Instructions for DepartmentLeave covered under the Family and Medical Leave Act (FMLA), the California Family Rights Act (CFA), Pregnancy Disability Leave (PDL), and

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Fill out your personal information including name, date of birth, and contact information.

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Who needs family medical and pregnancy?

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Individuals who are seeking medical care or resources related to pregnancy or family medical history may need to fill out the family medical and pregnancy form.

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What is family medical and pregnancy?

Family medical and pregnancy is a form that employees can use to request time off from work for medical reasons or pregnancy.

Who is required to file family medical and pregnancy?

Employees who need to request time off for medical reasons or pregnancy are required to file family medical and pregnancy.

How to fill out family medical and pregnancy?

Employees can fill out the family medical and pregnancy form by providing their personal information, medical details, and the requested time off.

What is the purpose of family medical and pregnancy?

The purpose of family medical and pregnancy is to allow employees to request time off from work for medical reasons or pregnancy.

What information must be reported on family medical and pregnancy?

Employees must report their personal information, medical details, and the requested time off on the family medical and pregnancy form.

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