HR Forms and Checklists

A-C Forms

• 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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• Certification of Health Care Provider for Employee Return to Work - Spanish
  An employee may use this notice to have their health care provider certify that they may return to work.
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• CFRA Leave Documentation Checklist (Five to 49 Employees)
  Use this checklist to assist you in complying with regulations regarding California Family Rights Act leave for employers with five to 49 employees.
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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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• COBRA Continuation Coverage Election Notice — Outside California — Spanish
  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 they were notified of COBRA continuation rights.
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• COBRA Continuation Coverage Rights General Notice — Outside California — Spanish
  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.
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• CPRA Employee Request
  Employees may use this form when making a request under the California Privacy Rights Act (CPRA) and California Consumer Privacy Act (CCPA). This form also includes instructions for employees on how to make a request, including through a toll-free number, which employers must provide, or by completing the written request form.
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• CPRA Notice at Collection Checklist and Template
  Businesses covered by the California Privacy Rights Act (CPRA) and California Consumer Privacy Act (CCPA) must provide Notice at Collection, which means providing notice to California-based job applicants, employees and independent contractors of the categories of personal information that the businesses collect from them and the purposes for which they are used. If you are covered by the CPRA/CCPA, use this form to help you create a Notice at Collection as required by the law.
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• CPRA Privacy Policy Checklist
  Businesses covered by the California Privacy Rights Act (CPRA) and California Consumer Privacy Act (CCPA) must disclose to California-based employees, job applicants and independent contractors their privacy practices and information regarding their privacy rights under the law through a comprehensive privacy policy. If you are covered by the CPRA/CCPA, you can use this checklist to help you create a privacy policy as required by the law.
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• CPRA: Employer Confirmation of Receipt for Request Under the CPRA
  Employers may use this form to confirm receipt of a request under the California Privacy Rights Act (CPRA) and California Consumer Privacy Act (CCPA).
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• Criminal History Individualized Assessment of Applicant
  Use this form to help conduct an “individualized assessment” to determine whether a criminal conviction has a direct and adverse relationship with the specific job duties that justifies denying employment to an applicant.
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