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The document is a Family and Medical Leave (FMLA/CFRA) notice and request form for employees of The California State University. It outlines the rights and obligations of employees requesting leave due to their own illness or to care for family members, including requirements for medical certification, use of leave credits, continuation of benefits during unpaid leave, and conditions for reinstatement after leave. Employees must indicate their reason for leave, expected return date, and provide necessary personal information.

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Is it hard to get FMLA approved?

In order to be eligible to take leave under the FMLA, an employee must (1) work for a covered employer, (2) work 1,250 hours during the 12 months prior to the start of leave, (3) work at a location where 50 or more employees work at that location or within 75 miles of it, and (4) have worked for the employer for 12

Is it legal for a doctor to charge to fill out FMLA paperwork?

Yes. Doctors can and usually do charge a fee to complete Family and Medical Leave Act (FMLA) certifications. Under federal law, employers are not required to pay for fees charged for FMLA certification (other than for a second or third opinion), so the employee must take on that responsibility.

Are there forms to fill out for FMLA?

The Department has developed optional-use forms which can be used by employers to provide required notices to employees, and by employees to provide certification of their need for leave for an FMLA qualifying reason. These forms are electronically fillable PDFs and can be saved electronically.

Can a doctor refuse to fill out paperwork?

A doctor can refuse to fill out or simply sign off on a disability form for several reasons, and it can be difficult to know the reason for any particular situation until you know some of the general reasons that doctors often dont sign the forms.

How do I apply for FMLA in California?

How to Request California FMLA Leave Step 1: Determine if youre eligible. Step 2: Give advance notice. Step 3: Request the appropriate forms. Step 4: Fill out the forms. Step 5: Submit the forms. Step 6: Follow up. Step 7: Understand your rights and responsibilities. Step 8: Communicate with your employer.

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What to do when a doctor refuses to fill out FMLA paperwork?

Consult with another healthcare provider: If your current doctor is unwilling to fill out the FMLA paperwork, you can seek a second opinion from another healthcare provider. They may be more willing to provide the necessary documentation to support your FMLA request (3).

What are the two types of FMLA?

Within FMLA, there are three types of leave that a qualified employee may take: Continuous, intermittent and reduced schedule.

Why are doctors hesitant to fill out FMLA paperwork?

Common Reasons a Doctor Refuses to Sign Disability Forms One of the most common reasons a doctor will choose not to fill out a form is that they feel that a patient doesnt meet the listing even if they technically have the condition.