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Rebirth CFA Election Form By signing this form, I understand that: I have not yet given birth;my qualifying healthcare provider has determined that, due to pregnancy, a continuation of leave is medically necessary;I
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How to fill out pre-birth cfra election form

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How to fill out pre-birth cfra election form

01
Obtain the pre-birth CFRA election form from your employer or HR department.
02
Fill out your personal information including name, address, and employee ID.
03
Indicate the date you expect to begin your CFRA leave for the birth of your child.
04
Check the box to indicate if you will be using any accrued paid leave during your CFRA leave.
05
Sign and date the form to certify the accuracy of the information provided.
06
Submit the completed form to your employer within the required timeframe.

Who needs pre-birth cfra election form?

01
Employees who are expecting to take CFRA leave for the birth of their child.
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The pre-birth CFRA election form is a document used by employees in California to exercise their rights to take California Family Rights Act (CFRA) leave for the purpose of bonding with a new child, typically before the child is born.
Employees who are eligible for CFRA leave and wish to take leave for the birth of a child are required to file the pre-birth CFRA election form.
To fill out the pre-birth CFRA election form, an employee must provide their personal information, details about the expected birth, and specify the dates they plan to take leave. It is also important to follow any specific instructions provided by the employer.
The purpose of the pre-birth CFRA election form is to formally notify the employer of the employee's intention to take CFRA leave for bonding with a new child, ensuring the employee's rights under the law are recognized.
The pre-birth CFRA election form must typically include the employee's name, contact information, expected delivery date, leave start and end dates, and any other documentation required by the employer.
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