This is a legal form that was released by the California Department of Fair Employment & Housing - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form DFEH-100-21?
A: Form DFEH-100-21 is a form for requesting Family Care and Medical Leave (CFRA Leave) and Pregnancy Disability Leave in California.
Q: What does CFRA stand for?
A: CFRA stands for California Family Rights Act.
Q: What is CFRA Leave?
A: CFRA Leave is a type of leave that allows eligible employees to take up to 12 weeks of unpaid leave for certain family and medical reasons.
Q: What is Pregnancy Disability Leave?
A: Pregnancy Disability Leave is a type of leave that allows eligible employees to take up to 4 months of unpaid leave for pregnancy-related disability.
Q: Who is eligible for CFRA Leave and Pregnancy Disability Leave?
A: Employees working for employers with 5 or more employees are generally eligible for CFRA Leave and Pregnancy Disability Leave.
Q: How can I request CFRA Leave and Pregnancy Disability Leave?
A: You can request CFRA Leave and Pregnancy Disability Leave by completing and submitting Form DFEH-100-21 to the California Department of Fair Employment and Housing (DFEH).
Q: What are some valid reasons for taking CFRA Leave?
A: Some valid reasons for taking CFRA Leave include the birth of a child, the adoption or foster care placement of a child, and the serious health condition of a family member.
Q: What are some valid reasons for taking Pregnancy Disability Leave?
A: Some valid reasons for taking Pregnancy Disability Leave include pregnancy-related complications and the inability to perform job duties due to pregnancy.
Q: Do I get paid during CFRA Leave and Pregnancy Disability Leave?
A: CFRA Leave and Pregnancy Disability Leave are generally unpaid, but you may be eligible for certain benefits or use of accrued paid leave.
Q: Are there any job protections during CFRA Leave and Pregnancy Disability Leave?
A: Yes, there are job protections in place to ensure that you can return to your position or a comparable position after taking CFRA Leave and Pregnancy Disability Leave.
Form Details:
Download a printable version of Form DFEH-100-21 by clicking the link below or browse more documents and templates provided by the California Department of Fair Employment & Housing.