This form may be used by a California employer if it requires an employee to provide a certification to support a leave request for a military exigency relating to a family member's military service.
This form may be used by a California employer if it requires an employee to provide a medical certification supporting a leave request to care for a family member with a serious health condition.
This form may be used by a California employer if it requires an employee to provide a medical certification supporting a leave request for the employee's own medical condition.