Contact HR Analyst, Alejandra Rodriguez, via email at alejandrarodriguez@peralta.edu for any leaves questions.

For the latest updates pertaining to COVID-19, go to Safe.Peralta.edu

Time Reporting Resources


LAR Forms:    Archived LARs

2021 LARs & Comp time/Overtime Forms:

o   2021 Admin/Classified LAR 

o   2021 Comp/Overtime Form

o   2021 Faculty/Adjunct LAR

o   2021 Hourly/Student LAR

2022 LARs & Comp time/Overtime Forms:

o   2022 Admin/Classified LAR 

o   2022 Comp/Overtime Form

o   2022 Faculty/Adjunct LAR

o   2022 Hourly/Student LAR

 

FMLA Family and Medical Leave Act

Family and Medical Leave Act (FMLA) Information Posters: Click on the English or Spanish PDF to learn about employee rights and qualifying reasons under FMLA leave.

ELIGIBILITY CRITERIA: 

  • Have worked for the employer for at least 12 months;
  • Have at least 1,250 hours of service in the 12 months before taking leave;

STEPS TO REQUEST FMLA:

  1. Complete the Medical Leave Request Form. Employees will receive a Notice of Eligibility from Human Resources that confirms if the leave request is approved. 
  2. Fill-out SECTION 1 of the appropriate FMLA form (employees may complete section 1). A medical health care provider must complete the rest of the form. 
  3. Employees must complete LARs and submit them to their manager. Employees can request Human Resources (HR) to assist or pre-fill the LARs. 

FMLA FORMS:

Certification of Healthcare Provider for a Serious Health Condition

Certification of Military Family Leave

RETURNING FROM FMLA:

Employees who take leave for their own medical reasons are required to submit a medical release note to HR before they can return to work. The medical release note must specify if the employee is released on full or modified activity. 

*HR will provide leave balances and income replacement information about different options.
PDL Pregnancy Disability Leave

PREGANCY DISABILITY FOR FULL-TIME EMPLOYEES:

Pregnancy Disability Leave (PDL) Information Poster: Click on the English PDF to learn about employee rights under PDL.

ELIGIBILITY CRITERIA FOR PDL: 

  • Employees are eligible for up to four months or 17 1/3 weeks of job-protected leave per pregnancy upon hire. Time off will be determined based on the individual employee’s doctor recommendation.
  • Full-time employees may take leave under PDL even if they do not meet the eligibility criteria for FMLA/CFRA.

STEPS TO REQUEST PDL:

  1. Complete the Medical Leave Request Form.
  2. Submit a doctor’s note that provides a recommendation of time off needed.
  3. Complete LARs and submit them to your manager.

RETURNING FROM PDL OR PFL:

Employees are required to submit a medical release note to HR before they can return to work. The medical release note must specify if the employee is released on full or modified activity. 

DI/PFL Disability Insurance and California Paid Family Leave

CA BENEFITS FOR PART-TIME FACULTY:

Part-time faculty may qualify for income replacement benefits through the EDD programs of Disability Insurance (DI) and California Paid Family Leave (PFL).  https://www.edd.ca.gov/disability/pfl_mothers.htm

 CRITERIA FOR DI & PFL: 

Part-time faculty may apply for benefits through EDD (see eligibility requirements).

  • You may be eligible for DI if you are unable to work due to non-work-related illness or injury, pregnancy, or childbirth.
  • You may be eligible for PFL to:
    • Care for a seriously ill family member.
    • Bond with a new child.
    • Participate in a qualifying event because of a family member’s military deployment to a foreign country.
  • Employees may use their PCCD accrued sick leave hours as income replacement during their leave.

STEPS TO REQUEST PDL OR PFL:

  1. Complete the Medical Leave Request Form.
  2. Submit a doctor’s note that provides a recommendation of time off needed.
  3. Employees must complete LARs and submit them to their manager.

RETURNING FROM PDL OR PFL:

Employees are required to submit a medical release note to HR before they can return to work. The medical release note must specify if the employee is released on full or modified activity. 

LTD
Visit the VOYA website to start your claim online.
CFRA
Coming soon