There are occasions when employees must be absent from work due to personal, family, or medical reasons. The County of Riverside recognizes this and has established family and medical leave practices that enable employees to be away from work while maintaining their employment status.
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Compliance
It is the intent of the County of Riverside to comply with the requirements of state and federal leave laws.
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FMLA, CFRA, PDL Forms
Family Medical Leave Act, California Family Rights Act, and Pregnancy Disability Leave Forms are available here.
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Department Representatives
Employees should consult with their Human Resources Department Representative if they have questions regarding their eligibility for leave or to obtain more information.
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Military Leave Forms
Find the guide and forms necessary to prepare for leave.
FMLA, CFRA, PDL Leave Forms
- Request for Family/Medical Leave - Rev. 5/2023
- Certification of Health Care Provider for Employee's Serious Health Condition - Rev. 5/2023
- Certification of Health Care Provider for Family Member's Serious Health Condition - Rev. 5/2023
- Certification for Serious Injury or Illness of Covered Servicemember - Rev. 5/2023
- Certification of Qualifying Exigency for Military Family Leave - Rev. 5/2023
- Retention of Insurance Form - Rev. 8/2023
- Notice of Eligibility Rights & Responsibilities - Rev. 5/2023
- Your Rights and Obligations as a Pregnant Employee - Rev. 6/2017
- Designation Notice - Rev. 5/2023
FMLA, CFRA, PDL Information
- FMLA/CFRA/PDL Process Steps (Request Received without Medical) - Rev. 9/2020
- FMLA/CFRA/PDL Process Steps (Request Received with Medical) - Rev. 9/2020
- Family and Medical Leave Guide - Rev. 2/2024
- FMLA/CFRA/PDL Process Guidelines for Leave Administrators - Rev. 3/2023
- Family and Medical Leave Quick Reference Guide - Rev. 8/2023
- Family and Medical Leave Fact Sheet - Rev. 8/2023
- FMLA/CFRA/PDL Frequently Asked Questions - Rev. 2/2024
- Pregnancy Disability Leave (PDL) Frequently Asked Questions - Rev. 8/23
- Employee Responsibilities Checklist - Rev. 5/2023
- Supervisor Responsibilities Checklist - Rev. 5/2023
- Department/HR Designee Responsibilities Checklist - Rev. 5/2023
- Use of Accruals for Family and Medical Leave Chart - Rev. 1/2023
FMLA, CFRA, PDL and Other Outside Links
- FLSA Fact Sheet #73: Break Time for Nursing Mothers
- EEOC Publication: Legal Rights for Pregnant Workers
- EEOC Publication: Helping Patients Deal with Pregnancy-Related Limitations
- California Family and Rights Act (CFRA) Brochure - CA Dept. of Fair Employment and Housing
- Family and Medical Leave Act (FMLA) Notice - US Dept. of Labor
- The Employee's Guide to the Family and Medical Leave Act - US Dept. of Labor
- Your Rights and Obligations as a Pregnant Employee
Other Leaves and Accommodations
- Required Notice: Leave for Victims of Domestic Violence and Other Crimes - 3/2021
- Other Leaves and Accommodations Guide - Rev. 1/2024
- Medical Leave of Absence Request and Medical Certification - Rev. 5/2023
- Non-Medical Leave of Absence Request - Rev. 5/2023
- Return from Leave Form - Rev. 5/2023