: Used specifically for State of California employees.
: An employer-provided form that notifies an employee of their eligibility for leave. What is the CFRA Certification Form?
The CFRA form is a medical certification completed by a healthcare provider to verify that an employee or their family member has a . This documentation allows eligible employees to take up to 12 weeks of unpaid, job-protected leave per year for: Their own serious health condition. c.f.r.a. form download
The primary form used to certify a serious health condition is the (formerly DFEH-E11P-ENG).
Certification of Health Care Provider - Civil Rights Department : Used specifically for State of California employees
The standard form includes several essential fields that must be completed accurately to avoid denial of leave:
The certification form is a critical document for employees seeking job-protected leave in California. Use the links below to access official downloads and understand the requirements for filing. Official CFRA Form Downloads The CFRA form is a medical certification completed
: The standard form provided by the California Civil Rights Department (CRD).