Form DFEH-100-21 Family Care and Medical Leave (Cfra Leave) and Pregnancy Disability Leave - California

What Is Form DFEH-100-21?

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.

FAQ

Q: What is Form DFEH-100-21?
A: Form DFEH-100-21 is a form used for requesting Family Care and Medical Leave (CFRA Leave) and Pregnancy Disability Leave in California.

Q: What is CFRA Leave?
A: CFRA Leave stands for California Family Rights Act Leave, which allows eligible employees to take up to 12 weeks of unpaid leave for family and medical reasons.

Q: What is Pregnancy Disability Leave?
A: Pregnancy Disability Leave is a type of leave provided under California law that allows eligible employees to take up to four months of unpaid leave due to pregnancy-related conditions.

Q: Who is eligible for CFRA Leave and Pregnancy Disability Leave?
A: Employees who work for covered employers and meet certain eligibility requirements are eligible for CFRA Leave and Pregnancy Disability Leave.

Q: What can CFRA Leave be used for?
A: CFRA Leave can be used for various reasons, including the birth and bonding with a new child, caring for a seriously illfamily member, or the employee's own serious health condition.

Q: What can Pregnancy Disability Leave be used for?
A: Pregnancy Disability Leave can be used for medical conditions related to pregnancy, childbirth, or related medical conditions.

Q: How do I request CFRA Leave and Pregnancy Disability Leave?
A: To request CFRA Leave and Pregnancy Disability Leave, you need to complete and submit Form DFEH-100-21 to your employer or the California Department of Fair Employment and Housing.

Q: What information is required on Form DFEH-100-21?
A: Form DFEH-100-21 requires information such as your contact details, the reasons for the leave, the expected duration of the leave, and any supporting documentation.

Q: Is CFRA Leave and Pregnancy Disability Leave paid?
A: CFRA Leave and Pregnancy Disability Leave are generally unpaid leaves. However, employees may be eligible for wage replacement benefits through California's State Disability Insurance program.

Q: Are there any job protections for employees on CFRA Leave and Pregnancy Disability Leave?
A: Yes, both CFRA Leave and Pregnancy Disability Leave provide job protections, meaning that employers are generally required to return eligible employees to their same or equivalent positions after the leave.