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Absence Request — Spanish
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Employees may use this form when requesting future time off or reporting previous time off. Remember employees can take mandatory paid sick leave upon verbal or written request. This form also gives your employees the opportunity to indicate a family and medical leave of absence, although it is not required.
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Basic Poster and Notice Requirements Under the Family, Medical and Pregnancy Leave Laws - Spanish
Review this chart to determine your responsibilities under family, medical and pregnancy leave laws.
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California Family Rights Act Fact Sheet - Spanish
This fact sheet outlines an employee’s right for leave under the California Family Rights Act (CFRA). You may choose to give this fact sheet to each employee eligible for CFRA and/or who requests leave that qualifies as CFRA, but there's no requirement that you do so.
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Certification of Health Care Provider — Employee's or Family Member's Serious Health Condition — Spanish
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Have the employee's health care provider complete this medical certification as needed. This form is used for employee's taking leave under the Family and Medical Leave Act (FMLA) and California Family Rights Act (CFRA) for their own serious health condition or that of a family member.
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Certification of Health Care Provider for Employee Return to Work - Spanish
An employee may use this notice to have his/her health care provider certify that he/she may return to work.
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Certification of Health Care Provider for Pregnancy Disability Leave, Transfer And/Or Reasonable Accommodation - Spanish
Have the employee's health care provider complete this medical certification as needed. This form is used for employee's seeking reasonable accommodation, transfer or Pregnancy Disability Leave for pregnancy, childbirth or a related medical condition.
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CFRA Notice and CFRA/FMLA Designation (50 or More Employees) — Spanish
Use this form to give employees notice of their rights under the California Family Rights Act (CFRA), and to designate leave as CFRA and/or Family and Medical Leave Act (FMLA), to provide conditional approval of the request for leave if more information is necessary or to deny the request.
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CFRA Notice and Designation (Five to 49 Employees) — Spanish
Use this form to give employees notice of their rights under the California Family Rights Act (CFRA), and to designate leave as CFRA, to provide conditional approval of the request for CFRA leave if more information is necessary, or to deny the request.
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CFRA Sample Policy - 50 or More Employees - Spanish
Use this sample to create your policy that communicates any employee requirements and gives notice to your employee of their right to California Family Rights Act (CFRA) leave. Use this version if you have 50 or more employees.
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CFRA Sample Policy - Five to 49 Employees - Spanish
Use this sample to create your policy that communicates any employee requirements and gives notice to your employee of their right to California Family Rights Act (CFRA) leave. Use this version if you have five to 49 employees.
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CFRA/FMLA - Family Member Leave for a Qualifying Exigency - Spanish
This chart describes the types of events that give an eligible employee a reason for leave because of a qualifying exigency under the CFRA/FMLA arising because the spouse, son or child of the employee is on covered active duty or call to active duty.
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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.
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Direct Deposit Authorization - Spanish
Give this form to an employee who requests his pay delivered by direct deposit to one or more bank accounts. Before distribution, indicate the maximum number of direct deposit accounts and financial institutions.
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Diversity, Equity and Inclusion Policy - Spanish
A diversity, equity and inclusion policy can demonstrate your commitment to fostering a diverse workforce, providing the opportunity for advancement for all individuals and ensuring equity in the workplace for all employees.
This policy goes above and beyond the required Harassment, Discrimination and Retaliation Prevention policy by not simply complying with the law that prohibits discrimination or harassment against employees on the basis of race, gender, sexual orientation or any other protected characteristics; it communicates to your employees that such differences are celebrated and viewed as assets to your Company.
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Earned Income Tax Credit - Employer Required Notification - Spanish
Provide this Spanish form to employees along with their W-2 or 1099 to notify them of their rights under the federal and California Earned Income Tax Credit (EITC) program.
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Employment Application - Long Form - Spanish
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Employment Application - Short Form - Spanish
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Employment Offer Letter - Spanish
Use this letter to convey information to a new employee about whom they will report to, job title, starting date and time, rate of pay and classification. This letter is simply for an employee’s information and is not to be used or construed as a contract of employment.
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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.
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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.
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Federal Family and Medical Leave Act Poster - Spanish
This poster satisfies the required federal posting notice regarding the availability family and medical leave.
Employers should give a copy of the FMLA notice at the time of hire if they do not publish an employee handbook. Best practice is to provide the notice at time of hire regardless of whether you also include the notice in your employee handbook.
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Final Paycheck Acknowledgment - Spanish
Use this form to have an employee certify receipt of final paycheck. Employers not fluent in Spanish should refer to the English version to complete this form properly.
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Final Paycheck Direct Deposit Authorization - Spanish
Give this form to an employee who requests his final pay delivered by direct deposit to one or more bank accounts. Before distribution, indicate the maximum number of direct deposit accounts and financial institutions.
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FMLA - Notice of Eligibility and Rights and Responsibilities - Spanish
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Use this form to notify employees taking a family and medical leave only regarding their eligibility for leave and any associated rights and responsibilities.
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FMLA Designation Notice - Spanish
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Use this form to designate leave as FMLA only, to provide conditional approval of the request for leave if more information is necessary or to deny the request.
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FMLA PDL Designation Notice - Spanish
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Use this form to notify an employee if their leave for PDL/FMLA is approved, conditionally approved or denied.
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FMLA Sample Policy — 50 or More Employees — Spanish
Use this sample to create your policy that communicates any employee requirements and gives notice to your employee of their right to Family and Medical Leave Act (FMLA) leave.
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Harassment Complaint Form - Spanish
Use this form to enable employees to report incidents of harassment.
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Harassment Complaint Procedure - Spanish
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Use this form to explain your company's harassment complaint procedure. Distribute the procedure along with your nonharassment policy to new employees, unpaid interns and volunteers. Consider annual redistribution of the form. Best practices would include distribution to independent contractors.
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Harassment, Discrimination and Retaliation Prevention Policy — Spanish — Five or More Employees
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Harassment, Discrimination and Retaliation Prevention Policy — Spanish — Less Than Five Employees
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Heat Illness Prevention Plan - Outdoor Employees - Spanish
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Use this sample form to develop your company's plan and procedures for complying with Cal/OSHA regulations on heat illness prevention for outdoor workers. This form describes minimal steps applicable to most outdoor work settings to help prevent heat illness. Make sure to modify this sample form with specific procedures tailored to your workplace and the specific conditions at your worksites. Additional helpful information is available from Cal/OSHA.
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HIPP Notice - Spanish
Send this Spanish version at the same time you send the COBRA Notice, to notify Spanish-speaking terminating employees of special state programs that provide for the state to pay the COBRA premium under certain circumstances. Be careful not to confuse HIPP, California's Health Insurance Premium Payment Program, with HIPAA.
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Human Trafficking Model Notice - English and Spanish
Free
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Human Trafficking Model Notice - Spanish
Free
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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.
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I-9 — Employment Eligibility Verification — Spanish
Updated | Free
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Lactation Accommodation Policy - Spanish
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Makeup Time Request - Spanish
If you have a makeup time policy, have your employees use this form to request time off and schedule makeup time.
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Meal Break Waiver - Employee Shift 6 Hours or Less - Spanish
When you have a nonexempt worker who will work a shift of six hours or less and both you and the worker wish to waive the required 30-minute meal break, use this form.
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Meal Break Waiver - Second Meal - Spanish
When you have a nonexempt worker whose shift will be more than 10 hours but less than 12 hours, the worker has not waived his first meal break, and both you and the worker wish to waive the second required 30-minute meal break, use this form.
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Minimum Wage Order - Spanish
Free
Post this official California Minimum Wage notice next to the IWC Wage Order for your industry.
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New Health Insurance Marketplace Coverage Options and Your Health Coverage (for Employers That Do Not Offer a Health Plan) - Spanish
Updated | 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.
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New Health Insurance Marketplace Coverage Options and Your Health Coverage (for Employers That Offer a Health Plan) - Spanish
Updated | 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.
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Notice of Final Decision to Withdraw Employment Offer - Criminal History Only - Spanish
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Notice to Employee as to Change in Relationship - Spanish
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Use this form to notify an employee of a change in the employment relationship, such as a layoff or termination.
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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.
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Overtime Request - Spanish
Provide this form to supervisors, managers and employees and train all employees in the use of this form whenever overtime work is needed or performed.
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Personal Chiropractor or Acupuncturist Designation Form - Spanish
Give this form to any employee who wants to pre-designate a chiropractor or acupuncturist as treating doctor for work-related injuries.
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Personal Physician Designation Form - Spanish
Give this form to every employee prior to the end of the first payroll period following initial employment. It may be given as part of the Workers' Compensation Information Pamphlet, which must be provided at that time. The form must also be given to any employee who wants to pre-designate a personal physician (M.D., D.O. or medical group) as treating doctor for a work-related injury, upon request, at any time during employment.
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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.
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Pregnancy Disability Leave Sample Policy — Five or More Employees — Spanish
Use this policy to satisfy the requirements regarding Pregnancy Disability Leave (PDL).
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Reasonable Accommodation Request - Spanish
Use this form to begin the interactive process with an employee requesting accommodation for a disability, to obtain certification from the employee’s health care provider and to record the interactive process and all discussions and accommodations granted or denied.
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Request for Leave of Absence — FMLA/CFRA/PDL — Spanish
Provide this form if you're an employer covered by the federal Family and Medical Leave Act (FMLA) or the California Family Rights Act (CFRA) and either an employee has requested a leave of absence or you recognize the need.
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Unemployment Insurance Benefit Table - Spanish
Review this chart to determine the employee’s quarterly wage during the employment base period and the corresponding weekly benefit amount.
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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 his/her paychecks.
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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.
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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.
