A California-compliant medical certification form for pregnancy disability leave (PDL), transfer, and/or reasonable accommodation to be used by employers with five or more employees. This Standard Document is adapted from the prototype dated September 2022 from the California Civil Rights Department (formerly the Department of Fair Employment and Housing (DFEH)) and the California Code of Regulations. This policy complies with California law and applies to private employers. This Standard Document has integrated notes with important explanations and drafting tips. For information on federal family and medical leave law requirements, see the Family and Medical Leave Act (FMLA) resources and State Q&A Tools under Related Content.