FMLA,CFRA,or ADAMental healthconditions canqualify forprotected leaveunder theselaws.HealthcareProviderFormWhat mustbe submittedfor a medicalleavePregnancyDisabilityLeave(PDL)Leave thatprovides 4months offforpregnancyHumanResources(HR)Whodeterminesleaveeligibility?CaliforniaFamilyRights ActFullname ofCFRA8weeksLength ofPaid FamilyLeavebenefitsFMLAorCFRALeave typethat protectsyour job duringpersonalillnessEmploymentDevelopmentDepartment(EDD)Agency thatmanagesSDI inCaliforniaFMLALeave thatmay be usedintermittentlyDomesticpartner &siblingsFamilymember typeCFRA coversthat FMLAdoes notEmployers with50+ employees;Employee musthave 12+months & 1,250hours Qualificationsfor FMLAStateLawIf state leavelaw providesmore benefitsthan federallaw, which oneapplies?PaidFamilyLeave(PFL)Leave thatcan be usedfor mentalhealth needs  Free!StateDisabilityInsurance(SDI)Program thatprovides wagereplacementduring medicalleaveCFRA,FMLA,or PFLType ofleave usedto bond witha newbornFMLAandCFRATwo leavetypes thatcan run atthe sametimeFamily andMedicalLeave Act(FMLA)The law thatallows timeoff for serioushealthcondition12weeksNumber ofweeks FMLA& CFRAprovidesFMLA,CFRA,or ADAMental healthconditions canqualify forprotected leaveunder theselaws.HealthcareProviderFormWhat mustbe submittedfor a medicalleavePregnancyDisabilityLeave(PDL)Leave thatprovides 4months offforpregnancyHumanResources(HR)Whodeterminesleaveeligibility?CaliforniaFamilyRights ActFullname ofCFRA8weeksLength ofPaid FamilyLeavebenefitsFMLAorCFRALeave typethat protectsyour job duringpersonalillnessEmploymentDevelopmentDepartment(EDD)Agency thatmanagesSDI inCaliforniaFMLALeave thatmay be usedintermittentlyDomesticpartner &siblingsFamilymember typeCFRA coversthat FMLAdoes notEmployers with50+ employees;Employee musthave 12+months & 1,250hours Qualificationsfor FMLAStateLawIf state leavelaw providesmore benefitsthan federallaw, which oneapplies?PaidFamilyLeave(PFL)Leave thatcan be usedfor mentalhealth needs  Free!StateDisabilityInsurance(SDI)Program thatprovides wagereplacementduring medicalleaveCFRA,FMLA,or PFLType ofleave usedto bond witha newbornFMLAandCFRATwo leavetypes thatcan run atthe sametimeFamily andMedicalLeave Act(FMLA)The law thatallows timeoff for serioushealthcondition12weeksNumber ofweeks FMLA& CFRAprovides

Leave of Absence - Call List

(Print) Use this randomly generated list as your call list when playing the game. There is no need to say the BINGO column name. Place some kind of mark (like an X, a checkmark, a dot, tally mark, etc) on each cell as you announce it, to keep track. You can also cut out each item, place them in a bag and pull words from the bag.


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  1. Mental health conditions can qualify for protected leave under these laws.
    FMLA, CFRA, or ADA
  2. What must be submitted for a medical leave
    Healthcare Provider Form
  3. Leave that provides 4 months off for pregnancy
    Pregnancy Disability Leave (PDL)
  4. Who determines leave eligibility?
    Human Resources (HR)
  5. Full name of CFRA
    California Family Rights Act
  6. Length of Paid Family Leave benefits
    8 weeks
  7. Leave type that protects your job during personal illness
    FMLA or CFRA
  8. Agency that manages SDI in California
    Employment Development Department (EDD)
  9. Leave that may be used intermittently
    FMLA
  10. Family member type CFRA covers that FMLA does not
    Domestic partner & siblings
  11. Qualifications for FMLA
    Employers with 50+ employees; Employee must have 12+ months & 1,250 hours
  12. If state leave law provides more benefits than federal law, which one applies?
    State Law
  13. Leave that can be used for mental health needs
    Paid Family Leave (PFL)
  14. Free!
  15. Program that provides wage replacement during medical leave
    State Disability Insurance (SDI)
  16. Type of leave used to bond with a newborn
    CFRA, FMLA, or PFL
  17. Two leave types that can run at the same time
    FMLA and CFRA
  18. The law that allows time off for serious health condition
    Family and Medical Leave Act (FMLA)
  19. Number of weeks FMLA & CFRA provides
    12 weeks