| 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 |
