A sample form for use by private employers with at least 50 employees to notify California employees about their eligibility for leave and their rights and responsibilities, as required by the federal Family and Medical Leave Act (FMLA). It is customized to include the California Family Rights Act (CFRA) because employees may be eligible for leave under the FMLA or CFRA, or both running concurrently where appropriate. This Standard Document has been drafted in compliance with federal and California law. It has integrated notes with important explanations and drafting tips.