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FMLA/CFRA Notice of Eligibility Rights & Responsibilities

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For employers with 50+ employees: use this form to inform employees of their eligibility for FMLA and/or CFRA leave. If eligible, it outlines rights and responsibilities; if not, it explains the reason(s) for ineligibility.

Members get instant, full access to HR Forms PLUS:

  Unlimited HR phone and email support
  Members-only website access and discounts
...and more!

Members get instant full access, PLUS:

  Unlimited HR phone and email support
  Members-only website access and discounts
...and more!

FMLA CFRA notice of eligibility

Related Forms & Toolkits

New Hire and Orientation Checklist

Meal & Rest Period Acknowledgement

Meal Period Waiver