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HR Disciplines

Pamphlet to be given to employees Form # When hired When placed When discharged Form may be found 
(new employees) on LOA (terminated/ laid off) at this website 

Notice To Employee – AB 469

DLSE-NTE

ü

   

dir.ca.gov

For Your Benefit

DE 2320

 

ü

ü

edd.ca.gov

State Disability Insurance Provisions

DE 2515

ü

ü

 

edd.ca.gov

Paid Family Leave Insurance Program

DE 2511

ü

depends on case

 

edd.ca.gov

Sexual Harassment Information Sheets

DFEH-185

ü

   

dfeh.ca.gov

Workers’ Comp Rights & Benefits 

 

ü

   

WC Carrier 

Initial Cobra Notification (if offer benefits)

 

ü

 

ü

 

HIPP Notice

     

ü

dfeh.ca.gov

Notice to Employees – W-4

DE 35

ü

   

edd.ca.gov

Pregnancy Disability Leave 

DFEH 186

 

depends on case

 

dfeh.ca.gov

Notice A-Pregnancy Disability Leave

DFEH 100-20

 

depends on case

 

dfeh.ca.gov

California Family Rights Act

DFEH 188

ü

   

dfeh.ca.gov

Earned Income Tax Credit Notice

Notice 797

ü

   

Irs.gov

Change In Relationship Form

   

ü

ü

edd.ca.gov

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