Family Medical Leave Act Forms California

• Category: Employment - Leave - Family and Medical Leave Act (FMLA)
• State: Multi-State
• Control #: US-266EM
• Format: Word; Rich Text

Description

An employee may use this form to request leave under the FMLA.

The Family Medical Leave Act (FMLA) forms are important documents that employees in California need to understand and complete when applying for leave under the FMLA. These forms serve as a means for employees to seek protected time off from work to address qualified medical conditions for themselves or their family members. In California, there are different types of FMLA forms that employees might encounter. Let's take a closer look at each form: 1. FMLA Form WH-380-E: This form is known as the Certification of Health Care Provider for Employee's Serious Health Condition. When an employee is seeking leave for their own serious health condition, they will need to obtain their healthcare provider's certification using this form. It provides detailed information about the medical condition, treatment plan, and the approximate time needed for the leave. 2. FMLA Form WH-380-F: The Certification of Health Care Provider for Family Member's Serious Health Condition is used when an employee intends to take leave to care for a family member with a serious health condition. The employee will need to have the family member's healthcare provider complete this form, disclosing information about the condition, treatment, and the duration of the leave required. 3. FMLA Form WH-381: This form, also known as the Notice of Eligibility and Rights & Responsibilities, is given by the employer to the employee to inform them of their eligibility status for FMLA leave. It explains the employee's rights and responsibilities during the leave, the expectations, and the consequences of failing to abide by the FMLA regulations. 4. FMLA Form WH-382: When an employee submits an FMLA leave request, the employer may require them to provide additional medical information or certification using this form. The employer uses it to authenticate the need for leave and to gain additional insight into the employee's condition. 5. FMLA Form WH-384: Known as the Certification of Qualifying Exigency for Military Family Leave, this form is utilized when an employee needs time off to address certain qualifying exigencies related to a family member's covered active duty or call to covered active duty in the armed forces. 6. FMLA Form WH-385: When an employee needs to take FMLA leaves for a covered military member's serious injury or illness, they must complete the Certification for Serious Injury or Illness of Covered Service Member. This form provides essential medical information about the military member's condition and is completed by their healthcare provider. These California-specific FMLA forms are crucial for both employers and employees to ensure compliance with the state and federal regulations. It is essential to understand and complete these forms accurately to protect employee rights and facilitate a smooth leave process.