HOW TO: Comply with the Family Medical Leave Act (FMLA) - for Supervisors

Summary: The following links, documents and resources, are provided to assist you in complying with the Family and Medical Leave Act.

The FMLA ensures that employee benefits are maintained, management and employee rights are preserved, and disruptions to the department's operational activities are minimized. Please contact your Human Resources Consultant to discuss concerns regarding FMLA/CFRA.

What you, the supervisor, should do How you should do it:
1 Family Medical Leave Guidelines
  1. A step-by-step guide to administer routine FML requests and pregnancy disability leave requests FML Guidelines
2 Notices
  1. General Notice regarding Family Medical Leave Act (DOL)

  2. General Notice regarding California Family Rights Act and Pregnancy Disability Leave Law (.pdf)

  3. Notice of Eligibility and Rights and Responsibilities (Form)

  4. Designation Notice (Form)
3 Certifications
  1. Certification of Health Care Provider for Employee's Serious Health Condition

  2. Certification of Health Care Provider for Family Member's Serious Health Condition

  3. Certification of Health Care Provider for Employee's Pregnancy Disability

  4. Return to Work Certification

  5. Certification For Qualifying Exigency Leave

  6. Certification for Military Caregiver Leave
4 Additional Resources
  1. Sample Letters referenced in the FML Guidelines

  2. Leave of Absence Request

  3. Declaration of Relationship for Family and Medical Leave

  4. Exempt Employee Workweek Agreement for FML leaves taken on a reduced schedule or intermittent basis

  5. UC Policies

  6. Bargaining Units and Contracts

  7. Tracking calendar to ensure all timekeeping records are accurately maintained throughout the leave of absence period 2016 calendar or 2017 Calendar


  8. Contact your Human Resources Employee Relations Consultant for additional assistance.

Need an expert? Contact your Employee Relations Consultant in Human Resources.

Notice: University policies, procedures, state laws, and applicable collective bargaining agreements shall supersede information in this document or elsewhere on this site.

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