HR Forms and Checklists

Find By Name:
Find By Topic:

Updated Forms

  • COBRA Continuation Coverage Election Notice — California Employees
    Updated | Personalize
    Modify this form according to the coverage plans that you offer and send it out with all COBRA notices. The employee is required to fill out and return the form to the plan administrator within 60 days of a qualifying event or the date he/she was notified of COBRA continuation rights.
  • COBRA Continuation Coverage Election Notice — Outside California
    Updated | Personalize
    Modify this form according to the coverage plans that you offer and send it out with all COBRA notices. The employee is required to fill out and return the form to the plan administrator within 60 days of a qualifying event or the date he/she was notified of COBRA continuation rights.
  • COBRA Continuation Coverage Rights General Notice — California Employees
    Updated
    Provide this form to an employee or spouse within 90 days of the commencement of coverage or the first date at which the plan administrator is required to advise a qualified beneficiary of the right to elect coverage.
  • COBRA Continuation Coverage Rights General Notice — Outside California
    Updated
    Provide this form to an employee or spouse within 90 days of the commencement of coverage or the first date at which the plan administrator is required to advise a qualified beneficiary of the right to elect coverage. Use this form for employees outside California.
  • 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.​​
  • Voluntary Self-Identification of Disability
    Updated | 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: Contractors have until August 4, 2020, to implement the new form into their applicant and employee systems and processes. Contractors must continue use of the form approved by OMB in 2017 until they have incorporated the revised form.