Risk Management Department
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Family Medical Leave/California Family Rights
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FMLA/CFRA for Employee’s Own Medical Condition
- FMLA Rights and Responsibilities
- FMLA-CFRA Self Request form
- 2025 employees own condition medical certification
FMLA/CFRA for a Family Member or Designated Person
- FMLA Rights and Responsibilities
- FMLA/CFRA Self or Family Member Request Form
- Designated Persons Form
- FMLA Medical Certification
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Contacts
Senior Insurance Technicians
FMLA/CFRA, Long-term Disability and Workers' Compensation (OJI)Last Name: A - Gom
Chris Carnahan
(209) 933-7110 ext. 2554Last Name: Gon - N
Amanda Sarisky
(209) 933-7110 ext. 2552Last Name: O - Z
Jamie Dadasovich
(209) 933-7110 ext. 2555
Adelita Valadez
Coordinator, Risk Management
(209) 933-7110 ext. 2570