If you have been approved for FAMLI and are using leave intermittently, you must report your working hours to Human Resources, so we may calculate the amount of FAMLI that is payable to you.

An employee may use continuous leave, reduced work schedule, or intermittent leave for all CSU FAMLI qualifying reasons including care and bonding of a child. Employees are allowed 12 weeks of partial CSU FAMLI wage replacement on a rolling forward calendar year for qualifying eligible reasons.

If you have been approved for intermittent or reduced schedule FAMLI leave, use this form to report your working hours at least every two weeks.

FAMLI payments are generally paid every two weeks, but may be delayed if your hours are not reported timely.

If you are using FAMLI intermittently, you must report your hours worked to Human Resources, so we may calculate the amount of FAMLI that is payable to you.

You can expect to receive the CSU FAMLI wage replacement every two weeks as the payroll system processing period permits. Report to Human Resources the days/hours you work (either weekly or bi-weekly), and payments will be made in arrears based on the dates submitted. If you used any sick or annual leave not related to your FAMLI reason, please report them as "hours worked". Payments cannot be made until your hours are reported. It is the responsibility of the claimant to inform CSU Human Resources of hours worked by using this form. Intermittent leave can be used for up to six months before a new application is required.