An Administrator's Guide to California Private School Law Compendium

D OCUMENT 8.B

C HECKLIST W HEN A N E MPLOYEE R EQUESTS F AMILY A ND /O R M EDICAL C ARE L EAVE  Is the employee eligible for FMLA/CFRA leave?  Employed for at least 12 months?  Worked at least 1,250 hours during the preceding 12 month period?  Employed at a work site with at least 50 employees within 75 miles?  Does the employee have FMLA/CFRA leave time available?  Is there a qualifying reason for the leave?  Employee or family member’s serious health condition?  Bonding leave with newborn or recently placed adopted/foster child?  Qualifying exigency?  Care for a military member-family member with a serious injury/illness?  Did the employee give 30 days’ advance notice of need for leave, or as soon as practicable?  Has the school provided the required notices (see Section 4,G)?  General notice  Eligibility notice  Rights and responsibilities notice  Requirement to provide medical certification  Whether the school will require substitution of paid leave  Any requirement for employee to pay health care premiums  Various other rights and responsibilities (see Section 4, G)  Designation notice  Amount of leave counted toward FMLA/CFRA entitlement  Any requirement that employee provide a return to work medical certification  Provide list of essential job functions if return to work certification is required

An Administrator’s Guide to California Private School Law - Compendium ©2019 Liebert Cassidy Whitmore 101