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Makeup Time Request
If you have a makeup time policy, have your employees use this form to request time off and schedule makeup time.
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.
Meal Break - On Duty
When you have a nonexempt worker whose work prevents them from being able to take a meal break and both you and the worker intend for the worker to spend the 30-minute meal break while still on duty, use this form. WARNING - On-duty meal breaks are enforceable in very limited circumstances, please consult with legal counsel before using this form.
Meal Break - On Duty - Spanish
When you have a nonexempt worker whose work prevents them from being able to take a meal break and both you and the worker intend for the worker to spend the 30-minute meal break while still on duty, use this form. WARNING - On-duty meal breaks are enforceable in very limited circumstances, please consult with legal counsel before using this form.
Meal Break Waiver - Employee Shift 6 Hours or Less
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.
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.
Meal Break Waiver - Second Meal
When you have a nonexempt worker whose shift of more than 10 hours but no more 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.
Meal Break Waiver - Second Meal - Spanish
When you have a nonexempt worker whose shift of more than 10 hours but no more 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.
Medical Provider Network - Notice of Plan Modification
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.
Military Spouse/Registered Domestic Partner Request for Leave - 25 or More Employees
Provide this form to employees who are requesting time off when their spouse or registered domestic partner is on leave from military deployment.
Minimum Wage Order
Post this official California Minimum Wage notice next to the IWC Wage Order for your industry.
Minimum Wage Order Supplement for Covered Health Care Employees
Covered California health care employers must post this supplemental minimum wage notice alongside the General Minimum Wage Order.
Minimum Wage Order Supplement for Fast Food Restaurant Employees
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.
Minimum Wage Order — Spanish
Post this official California Minimum Wage notice next to the IWC Wage Order for your industry.
Minors - Statement of Intent to Employ and Request for Work Permit - Form B1-1
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.