HR Forms and Checklists

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Free Forms

  • CalOSHA Forms 300 300A and 301
    Free
    A CalOSHA-created spreadsheet containing all three required forms to report workplace injuries.
  • CHIP — Children's Health Insurance Program — Model Notice for Employers
    Free
    If you are eligible for health coverage from your employer, but are unable to afford the premiums, some states have premium assistance programs that can help pay for coverage. These states use funds from their Medicaid or CHIP programs to help people who are eligible for employer-sponsored health coverage but need assistance in paying their health premiums. 
  • CHIP - Children's Health Insurance Program - Model Notice for Employers - Spanish
    Free
    If you are eligible for health coverage from your employer, but are unable to afford the premiums, some states have premium assistance programs that can help pay for coverage. These states use funds from their Medicaid or CHIP programs to help people who are eligible for employer-sponsored health coverage but need assistance in paying their health premiums. 
  • CHIPRA Fact Sheet
    Free
    The DOL has posted a model employer Children's Health Insurance Program (CHIP) Notice that can be used to satisfy the employer notice requirement under the Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA). CHIPRA added new notice and disclosure obligations for employers that provide group health plans in states that offer Medicaid or state CHIP assistance in the form of premium assistance subsidies.  CHIPRA also created additional HIPAA special enrollment rights that permit eligible employees and their dependents to enroll in an employer's group health plan in two situations: (1) when Medicaid or CHIP coverage is terminated due to loss of eligibility; and (2) upon eligibility for a premium assistance subsidy under Medicaid or CHIP. The Employer CHIP Notice must be provided annually, on an automatic basis and free of charge. It must inform each employee (regardless of enrollment status) of potential opportunities for premium assistance in the state in which the employee resides. ​
  • DE4 - California Employee's Withholding Certificate
    Free
    Copy and distribute this form from the EDD to employees so they can determine their withholding allowances.
  • Fair Credit Reporting Act - Summary of Your Rights
    Free
    Provide a copy of this summary to the consumer (employee or applicant) before taking adverse action based on the results of a credit report. A copy of the report must accompany the summary.​​
  • Fair Credit Reporting Act - Summary of Your Rights - Spanish
    Free
    ​Provide a copy of this summary to the consumer (employee or applicant) before taking adverse action based on the results of a credit report. A copy of the report must accompany the summary.​​
  • Family Care and Medical Leave and Pregnancy Disability Leave Notice
    Free
    This notice must be posted and must also be given to an employee who is seeking pregnancy disability leave or reasonable accommodation/transfer for pregnancy, childbirth or related medical condition and/or who is seeking family care or medical leave. This notice applies to California employers with five or more employees (subject to the California Family Rights Act (CFRA) or Family and Medical Leave Act (FMLA)). You must post this notice in a place commonly used by employees, such as a break room. Employers are also encouraged to give this notice at time of hire to each new employee. This notice is also part of the California and Federal Employment Notices Poster available at the CalChamber Store.​​
  • Family Care and Medical Leave and Pregnancy Disability Leave Notice - Spanish
    Free
    This notice must be posted and must also be given to an employee who is seeking pregnancy disability leave or reasonable accommodation/transfer for pregnancy, childbirth or related medical condition and/or who is seeking family care or medical leave. This notice applies to California employers with five or more employees (subject to the California Family Rights Act (CFRA) or Family and Medical Leave Act (FMLA)). You must post this notice in a place commonly used by employees, such as a break room. Employers are also encouraged to give this notice at time of hire to each new employee. This notice is also part of the California and Federal Employment Notices Poster available at the CalChamber Store.
  • H-2A Agricultural Workers Supplemental Notice to Employee
    New | Free
    Employer with H-2A employees must give this notice to employees no later than the day that worker begins work in California or on the first day that the employee begins work for a new H-2A employer. This is in addition to the Wage and Employment Notice to Employees (Labor Code section 2810.5). The Spanish version must be provided. If an employee requests the notice in English, then employers also must provide this English notice.
  • H-2A Agricultural Workers Supplemental Notice to Employee - Spanish
    New | Free
    Employer with H-2A employees must give this notice to employees no later than the day that worker begins work in California or on the first day that the employee begins work for a new H-2A employer. This is in addition to the Wage and Employment Notice to Employees (Labor Code section 2810.5). This Spanish version must be provided. If an employee requests the notice in English, then employers also must provide the English notice.
  • Human Trafficking Model Notice
    Free
    Certain businesses must post this model notice providing information relating to how to report suspected human trafficking and access to help and services. Information on who must post this notice​ can be found on the Office of the Attorney ​General's Human Trafficking​​ webpage.​

    The notice to be posted must be at least 8.5 x 11 inches and size 16 font.
  • Human Trafficking Model Notice - English and Spanish
    Free

    ​​​Certain businesses must post this model notice providing information relating to how to report suspected human trafficking and access to help and services. Information on who must post this notice​ can be found on the Office of the Attorney ​General's Human Trafficking​​​ webpage.​

    The notice to be posted must be at least 8.5 x 11 inches and size 16 font.​
  • Human Trafficking Model Notice - Spanish
    Free

    Certain businesses must post this model notice providing information relating to how to report suspected human trafficking and access to help and services. Information on who must post this notice​ can be found on the Office of the Attorney ​General's Human Trafficking​​ webpage.​

    The notice to be posted must be at least 8.5 x 11 inches and size 16 font.

  • I-9 — Employment Eligibility Verification
    Free
    Use this required form for every employee to verify legal employment eligibility. Use these I-9 — Employment Eligibility Verification — Instructions or I-9 — Employment Eligibility Verification — Instructions — Spanish to assist you in properly completing the Form I-9.

    How to Download
    To complete Form I-9, you will need the latest version of Adobe Acrobat Reader or other PDF filler application. You can open the English or Spanish versions of the form and instructions in any browser.
  • I-9 — Employment Eligibility Verification — Instructions
    Free
    ​Both employers and employees are responsible for completing their respective sections of Form I-9 to verify legal employment eligibility. ​Use these USCIS instructions to assist you in properly completing the Form I-9.​
  • I-9 — Employment Eligibility Verification — Instructions — Spanish
    Free
    ​Both employers and employees are responsible for completing their respective sections of Form I-9 to verify legal employment eligibility. ​Use these USCIS instructions to assist you in properly completing the Form I-9.​​
  • I-9 — Employment Eligibility Verification — Spanish
    Free
    The Spanish version of Form I-9 may be filled out by employers and employees in Puerto Rico ONLY. Spanish-speaking employers and employees in the 50 states and other U.S. territories may print this for their reference but may only complete the form in English to meet employment eligibility verification requirements.

    See the I-9 — Employment Eligibility Verification — Instructions or I-9 — Employment Eligibility Verification — Instructions — Spanish to assist you in properly completing the Form I-9.
  • Immigrant Worker Protection Act Frequently Asked Questions
    Free
    The California Attorney General and the California Labor Commissioner created this guidance document to answer questions that are frequently asked about California’s Immigrant Worker Protection Act.​ It does not address every possible situation.
  • Independent Contractors Report - DE542
    Free
    Any business or government entity that is required to file a Federal Form 1099-MISC for service performed by an independent contractor must report using this form. You must report to the Employment Development Department within twenty (20) days of EITHER making payments of $600 or more OR entering into a contract for $600 or more with an independent contractor in any calendar year, whichever is earlier. This information is used to assist state and county agencies in locating parents who are delinquent in their child support obligations. ​​
  • Injury and Illness Incident Report - Form 301
    Free
    Along with an accompanying Summary, you must fill out this form or an equivalent within 7 calendar days after you receive information that a recordable work-related injury or illness has occurred. Some state workers’ compensation, insurance, or other reports may be acceptable substitutes if the forms contain all the information asked for on this form. You must keep this form on file for 5 years following the year to which it pertains.​
  • Medical Provider Network - Notice of Plan Modification
    Free
    Submit an original Notice of MPN Plan Modification with original signature, any necessary documentation, and a copy of the Notice and documents to the Division of Workers' Compensation.​
  • Minimum Wage Order
    Free
    Post this official California Minimum Wage notice next to the IWC Wage Order for your industry.
  • Minimum Wage Order Supplement for Fast Food Restaurant Employees
    New | Free
    Effective April 1, 2024, California fast food restaurant employers must post this supplemental fast food minimum wage notice — showing the current minimum wage rate for fast food restaurant employees — in addition to the General Minimum Wage Order, MW-2024.
  • Minors - Statement of Intent to Employ and Request for Work Permit - Form B1-1
    Free
    Use this form when employing minors who are required to attend school and file it with the school district for each minor. You can obtain this form by contacting the Office of the Superintendent of the minor's school district. The form should be completed by the minor and signed by the employer.​​
  • New Employees Print Specifications Report - Form DE34
    Free
    If you create your own format to report new hires to the state rather than using the official DE34 form, this information sheet contains the necessary data to insure that your format complies with the state's requirements.
  • New Employees Report - Form DE34
    Free
    Federal law requires all employers to report to EDD within 20 days of start of work all employees who are newly hired or rehired. This information is used to assist state and county agencies in locating parents who are delinquent in their child support obligations. An individual is considered a new hire on the first day in which they perform services for wages. In addition, any employee who is rehired after a separation of at least sixty (60) consecutive days must also be reported within the 20 days.
  • New Health Insurance Marketplace Coverage Options and Your Health Coverage (for Employers That Do Not Offer a Health Plan)
    Free
    Under the Affordable Care Act, employers must provide a notice of coverage options to employees. The U.S. Department of Labor has provided this model notice for use by employers who do not offer a health plan. ​
  • New Health Insurance Marketplace Coverage Options and Your Health Coverage (for Employers That Do Not Offer a Health Plan) - Spanish
    Free
    Under the Affordable Care Act, employers must provide a notice of coverage options to employees. The U.S. Department of Labor has provided this model notice for use by employers who do not offer a health plan. ​​
  • New Health Insurance Marketplace Coverage Options and Your Health Coverage (for Employers That Offer a Health Plan)
    Free
    Under the Affordable Care Act, employers must provide a notice of coverage options to employees. The U.S. Department of Labor has provided this model notice for use by employers who offer a health plan to some or all employees. ​
  • New Health Insurance Marketplace Coverage Options and Your Health Coverage (for Employers That Offer a Health Plan) - Spanish
    Free
    Under the Affordable Care Act, employers must provide a notice of coverage options to employees. The U.S. Department of Labor has provided this model notice for use by employers who offer a health plan to some or all employees.  ​
  • Notice of Offer of Regular Modified or Alternative Work for Injuries Occurring on or After 1-1-13 (DWC-AD 10133.35)
    Free
    Use this form in making a return-to-work offer. This form is to be used for injuries occurring on or after 1/1/13.
  • Notice to Employee: Government Inspection of Employment Eligibility Records
    Free
    ​If you receive a Notice of Inspection from a federal immigration enforcement agency, such as Immigration and Custom Enforcement (ICE), you must provide notice to all employees by posting this Notice to Employee (Labor Code section 90.2) in your workplace within 72 hours of receiving the Notice of Inspection. You must also post a copy of the Notice of Inspection along with this form and provide a copy of the Notice of Inspection to an employee upon reasonable request.​

    In addition, you are required to: (1) post this notice in any language you normally use to communicate employment-related information to the employee; and (2) provide a copy of this notice to the employees’ exclusive collective bargaining representative(s), if any.​
  • Notice to Employee: Government Inspection of Employment Eligibility Records - Spanish
    Free
    ​If you receive a Notice of Inspection from a federal immigration enforcement agency, such as Immigration and Custom Enforcement (ICE), you must provide notice to all employees by posting this Notice to Employee (Labor Code section 90.2) in your workplace within 72 hours of receiving the Notice of Inspection. You must also post a copy of the Notice of Inspection along with this form and provide a copy of the Notice of Inspection to an employee upon reasonable request.

    In addition, you are required to: (1) post this notice in any language you normally use to communicate employment-related information to the employee; and (2) provide a copy of this notice to the employees’ exclusive collective bargaining representative(s), if any.​
  • Optional Worksheet to Help You Fill Out the Annual Summary - Form 300A
    Free
    Use this worksheet to gather the data needed to prepare the Summary of Work-related Injuries and Illnesses (Form 300A).
  • Permit to Employ and Work - Form B1-4
    Free
    This is a sample of the permit you must have on file for each minor you employ. You can obtain this permit by contacting the Office of the Superintendent of the minor’s school district.
  • Pregnancy Disability Leave Notice
    Free
    This notice must be posted and must also be given to an employee who is seeking pregnancy disability leave or reasonable accommodation/transfer for pregnancy, childbirth or related medical condition. This notice applies to California employers with five or more employees. You must post this notice in a place commonly used by employees, such as a break room. This notice is also part of the California and Federal Employment Notices Poster available at the CalChamber Store.​​
  • Pregnancy Disability Leave Notice - Spanish
    Free
    This notice must be posted and must also be given to an employee who is seeking pregnancy disability leave or reasonable accommodation/transfer for pregnancy, childbirth or related medical condition. This notice applies to California employers with five or more employees. You must post this notice in a place commonly used by employees, such as a break room. This notice is also part of the California and Federal Employment Notices Poster available at the CalChamber Store.​
  • Pregnancy Discrimination Fact Sheet
    Free
    Copy and distribute this sample copy of California's Civil Rights Department (CRD) informational fact sheet to employees along with the required PDL notice. There is no legal requirement to distribute these fact sheets.
  • State Disability Insurance and Paid Family Leave Benefit Amounts
    Free
    Use this table to determine what benefits an employee is eligible for under State Disability Insurance and Paid Family Leave. For more information, go to www.edd.ca.gov.​​​
  • VETS-4212
    Free
    Certain federal contractors must file a VETS-4212 form. Reports must be filed between August 1 and September 30. The report is required on an annual basis.
  • Voluntary Self-Identification of Disability
    Free

    Federal regulations implementing Section 503 of the Rehabilitation Act of 1973 require certain federal contractors to ask applicants to voluntarily self-identify their disability status at both the pre-offer and post-offer phases of the application process and to invite  all employees to self-identify every five years. The rule applies to federal contractors and subcontractors that have 50 or more employees and a contract of $50,000. These contractors must develop an affirmative action program and solicit disability information. All invitations to self-identify must be made using this Voluntary Self-Identification of Disability form which is provided by the Office of Federal Contract Compliance Programs (OFCCP).

    Any version of this form must be at least 11-pitch for font size (with the exception of the footnote and the burden statement which must be at least 10-pitch in size.)

    Note: Employers have until July 25, 2023, to implement and use this updated form (which expires on April 30, 2026).

  • W-4 — Employee's Withholding Certificate
    Free
    Use this required W-4 form to obtain information from an employee to determine the correct Federal income tax amount to withhold from their paychecks.
  • W-4 — Employee's Withholding Certificate — Spanish
    Free
    Use this required W-4 form to obtain information from an employee to determine the correct Federal income tax amount to withhold from their paychecks.
  • Wage and Employment Notice to Employees (Labor Code section 2810.5)
    Free

    Provide this form to all nonexempt employees at the time of hire. If any change is made to the information on this form, notify employees of the change in writing within seven calendar days after the time a change was made unless notice is provided in another writing required by law within seven days of the change.​​

  • Wage and Employment Notice to Employees (Labor Code section 2810.5) - Spanish
    Free
    Provide this form to all nonexempt employees at the time of hire. If any change is made to the information on this form, notify employees of the change in writing within seven calendar days after the time a change was made. ​​
  • Wage Orders - Business Occupation Listing
    Free
    This chart lists businesses and occupations, and their corresponding Wage Orders.
  • Workers' Compensation Claim Form - DWC 1
    Free
    If an employee suffers a work-related injury or illness, he or she may be entitled to workers' compensation benefits. Give this form to the employee and have them complete the "Employee" section and then return the form to you. Give the employee the copy marked "Employee's Temporary Receipt," providing the employee with a dated copy when you have completed the form. All employees should also have received a pamphlet describing workers' compensation benefits and procedures to obtain them.
  • Workers' Compensation Claim Form - DWC 1 - Spanish
    Free
    If an employee suffers a work-related injury or illness, he or she may be entitled to workers' compensation benefits. Give this form to the employee and have them complete the "Employee" section and then return the form to you. Give the employee the copy marked "Employee's Temporary Receipt," providing the employee with a dated copy when you have completed the form. All employees should also have received a pamphlet describing workers' compensation benefits and procedures to obtain them. This form has been made available by the Department of Industrial Relations for use with non-English speaking employees.
  • Workers' Compensation Information and Assistance Offices
    Free
    Contact addresses and phone numbers for local DWC Information and Assistance Units. The I & A Unit provides information and assistance to employees, employers, insurance carriers and other interested parties concerning rights, benefits and obligations under California's workers' compensation laws.​
  • Workplace Harassment Guide for California Employers
    Free
    ​This Department of Fair Employment and Housing publication provides recommended employer practices for preventing and addressing all forms of workplace harassment, including harassment based on sex.
  • Workplace Violence Factors and Control Checklist — OSHA
    Free
    This checklist can help employers identify present or potential workplace violence problems. This checklist was created for late-night retail establishments and contains various factors and controls commonly encountered in that setting. Not all of the questions listed here fit all types of retail businesses, and this checklist does not include all possible topics specific businesses need. Employers should expand, modify and adapt this checklist to fit their own circumstances.
  • Workplace Violence Inspection Checklist — OSHA
    Free
    This checklist can help employers identify present or potential workplace violence problems. This checklist was created for late-night retail establishments and contains various factors and controls commonly encountered in that setting. Not all of the questions listed here fit all types of retail businesses, and this checklist does not include all possible topics specific businesses need. Employers should expand, modify and adapt this checklist to fit their own circumstances.
  • Work-Related Injuries and Illnesses Log - Form 300
    Free
    You must record information about every work-related death and about every work-related injury or illness that involves loss of consciousness, restricted work activity or job transfer, days away from work, medical treatment beyond first aid, that are diagnosed by a physician or licensed health care professional, or meet any criteria listed in CCR Title 8 sec. 14300.8 through 14300.12. You must complete an Injury and Illness Incident Report (Cal/OSHA Form 301) or equivalent form for each injury or illness recorded on this form. If you're not sure whether a case is recordable, call your local Cal/OSHA office for help.
  • Work-Related Injuries and Illnesses Summary- Form 300A
    Free
    All establishments covered by 8 CCR sec. 14300 must complete this Summary page, even if no work-related injuries or illnesses occurred during the year. Remember to review the log to verify that the entries are complete and accurate before completing this summary. Post this Summary page from February 1 to April 30 of the year following the year covered by the form.