Oakland is experiencing a network outage that is affecting key services. Several non-emergency systems within the City of Oakland are currently impacted or offline. Thank you for your patience while we work to restore services.

Request Family Medical Leave

Family Medical Leave Request
Family Medical Leave Time Reporting Form
Family Medical Leave Medical Verification Form
Date Posted: September 9th, 2018 @ 1:02 PM
Last Updated: January 20th, 2021 @ 7:53 PM

Employee should complete this leave request, and then forward with appropriate medical or other verification along with a Family Medical Leave Time Reporting Form to the Disability Benefits Coordinator:

Mary Baptiste
Phone: 510-238-2270
Email: mbaptiste@oaklandca.gov