Skip to content

CFRA ONLY Notice of Rights and Responsibilities – less than 50 Employees

This form is used to notify an employee whether they are eligible for CFRA leave and whether additional information or certification is needed to approve the leave. It explains rights, responsibilities and benefits if CFRA leave is approved. 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!

Get all of our members-only forms and toolkits by becoming a member today! As a member you'll also get:
  Unlimited HR phone and email support
  Members-only website access and discounts
...and more!

CFRA Notice of Rights and Responsibilities Form Thumbnail

Related Forms & Toolkits

New Hire and Orientation Checklist

Meal & Rest Period Acknowledgement

Meal Period Waiver