Skip to Content

Human Resources Department

Disability Management Unit

Medical Leave

Family Smiling and Standing in Front of Doctors

Family Medical Leave (Family Medical Leave Act/California Family Rights Act) provides eligible employees with up to 12 weeks of job-protected unpaid leave in a 12-month period for the following qualifying events:

  1. Serious health condition;
  2. Need to care for a family member with a serious health condition;
  3. Disability due to pregnancy, child birth, or related medical condition; 
  4. Need to bond for a new born, adoptive or foster child;
  5. Service in the uniform services as defined by the Uniformed Services Employment and Reemployment Rights Act (USERRA).

California's Pregnancy Disability Leave provides employees up to four (4) months of job protected leave due to pregnancy, childbirth, or related medical conditions. There are no eligibility requirements for Pregnancy Disability Leave.

Please refer to the County’s Medical Leave Policy for more information on family medical leaves and eligibility requirements.  In addition, the Military Leave Policy outlines eligibility requirements for those employees in active military service.

See How to Request a Medical Leave of Absence

See Request for Extension of Medical Leave

See Return to Work

How to Request a Medical Leave of Absence

To trigger FMLA/CFRA leave protections, employees must inform (verbally or in writing) their supervisor of the need for leave and if known, the anticipated timing and duration of the leave .  If possible, you must provide at least 30 days’ advance notice for foreseeable events (such as the expected birth of a child or a planned medical treatment for yourself or of a family member). For events that are unforeseeable, as soon as you learn of the need for the leave. 

Medical certification forms are available for an employee's serious health condition or a family member’s serious health condition, or you may submit your health care provider’s own medical note as long as it contains the required information.  In addition, certification forms are available for covered service members for Military FMLA qualifying leaves.

The medical certification form to be completed will depend on your leave request. Please complete the required forms as outlined below or submit your health care providers medical note or that of a family member to your supervisor or Department’s HR Liaison for eligibility approval.


 Service Member (Military FMLA)

Back to top

Request for Extension of a Medical Leave of Absence

Notify your supervisor and contact your Department HR/Payroll Liaison.  Provide an updated medical status note from your doctor.

Back to top

Return to Work

If the leave was for your own serious medical condition, you must provide your department with a medical note that you are released to return to work if the original medical note does not have a return date.  Make sure the physician has noted any restrictions and duration.

If you canceled your benefits while on leave, a new enrollment form is required upon return to work to be re-enrolled.  Enrollment forms are available from your Department's Human Resources/Payroll Liaison or the County Human Resources' Benefits Unit at (707) 565-2900.  Please note: return completed enrollment forms as soon as possible and no later than thirty-one (31) days after your return to work.

Back to top