Family and Medical Leaves (FMLA/CFRA/PDL)
The information on this website will help you navigate Family and Medical Leaves as they are applied at the University of California, Berkeley, in accordance with the federal Family Medical Leave Act, California Family Rights Act and California Pregnancy Disability Leave Act. Whether you are an employee who may need to request a leave, or a manager or supervisor who must administer one, here you'll find all the information you need on family and medical leaves at the Berkeley campus. Any information on this site should be read concurrently with the applicable UC-union contract, with Personnel Policies for Staff, or with Academic Personnel Policy, depending upon the employee who may be using the leave. If you have questions about specific applications or issues after you have reviewed the materials, please contact your Employee Relations Specialist or the Academic Personnel Office.
- When may a Family and Medical Leave apply?
- Definition of Family and Medical Leave Year
- Definitions
- Acronyms
- Family and Medical Leaves Departmental Worksheet (Word) — Print this form to use as a guide and checklist for the steps and forms needed to correctly administer a Family or Medical Leave.
- Family and Medical Leave Packet
- Rights and Obligations
- Sample Letters
- Leave of Absence Request Form (Word)
- Medical Leave Certification Form (Word)
- Request to Continue/Cancel Benefits Form (Word)
- Family and Medical Leave Benefits Checklist (PDF)
- Leave Without Pay Benefits Checklist (PDF)
- Disability Fact Sheet (PDF)
- Partial Disability Fact Sheet (PDF)
- Pregnancy and Newborn Child Fact Sheet for Employees with Sick Leave (PDF)
- Return to Work Certification (Word)
- Other Resources
- Leave Usage Tracking Form
- Questions and Answers
- Family and Medical Leaves Charting Calendar (Word)
- Sample Leave Time Report Form (Time Sheet for Employees)(PDF)
- Benefits Procedures for Employees Going on a Leave of Absence
- Family Medical Leave Act
- California Family Rights Act
- Pregnancy Disability Leave Law (California)(PDF)