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CFRA ONLY Designation Notice – less than 50 Employees

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This form is used to designate CFRA leave once the employer receives sufficient information that the employee qualifies. It confirms whether the leave will be counted as family and medical leave, or whether the request is denied. This form should not be used when FMLA also applies/runs concurrently.

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!

CFRA ONLY Designation Notice

Related Forms & Toolkits

New Hire and Orientation Checklist

Meal & Rest Period Acknowledgement

Meal Period Waiver