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Human Resources

FMLA (Family/Medical Leave Act)

If you have questions as to whether or not you qualify for FMLA or if you need help with the forms, you may contact Lori Smith at or leave a message for her at (209) 575-6024.


FMLA/CFRA Checklist

FMLA/CFRA Guidelines

Definition of Serious Health Condition

Application for FMLA/CFRA Leave

Health Care Provider Certification Statement

Absence Form - Classified

Absence Form- Management

Absence Form - Faculty