HR Forms and Checklists

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Updated Forms

  • CHIP - Children's Health Insurance Program - Model Notice for Employers
    Updated | 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
    Updated | 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. 
  • HIPP Notice
    Updated
    Send this English version at the same time you send the COBRA Notice, to notify 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. ​​​
  • HIPP Notice - Spanish
    Updated
    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.​​
  • Job Description
    Updated
    Use this form as a guide to help you define duties for an open position for which you are recruiting a new employee or to clarify existing job duties, skills or essential functions of the job. Use also when considering temporary modified duty or when returning an injured employee to work​. ​This is for reference only and any job description should be tailored to the specific duties and requirements of the particular job and legal requirements of the state within which you are doing business.​
  • New Health Insurance Marketplace Coverage Options and Your Health Coverage - for Employers That Do Not Offer a Health Plan
    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. ​
  • New Health Insurance Marketplace Coverage Options and Your Health Coverage - for Employers That Offer a Health Plan
    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. ​
  • 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. ​​
  • 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.  ​
  • VETS-4212
    Updated | 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.
  • W-4 — Employee's Withholding Certificate
    Updated | 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.

    8/11/2020 Update: The IRS made a minor update after publishing the 2020 version. Read more.
  • W-4 — Employee's Withholding Certificate — Spanish
    Updated | 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.

    8/11/2020 Update: The IRS made a minor update after publishing the 2020 version. Read more.
  • Workers' Compensation Information and Assistance Offices
    Updated | 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.​