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Missed or Short Meal Period Acknowledgement

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Provide this form for employees to acknowledge they missed or had a shortened meal period on a workday. This form also requires they acknowledge that company policy requires they take an unpaid, off-duty meal period of no less than 30 minutes whenever scheduled to work for a period of more than five consecutive hours in a workday.

Missed or Short Meal Period Acknowledgement — Spanish

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Provide this form for employees to acknowledge they missed or had a shortened meal period on a workday. This form also requires they acknowledge that company policy requires they take an unpaid, off-duty meal period of no less than 30 minutes whenever scheduled to work for a period of more than five consecutive hours in a workday.

Missed or Short Rest Break Acknowledgement

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Provide this form for employees to acknowledge they missed or had a shortened rest break on a workday. This form also requires they acknowledge that company policy requires them to take on uninterrupted 10-minute net rest period for every four hours they work (or major fraction thereof).

Missed or Short Rest Break Acknowledgement — Spanish

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Provide this form for employees to acknowledge they missed or had a shortened rest break on a workday. This form also requires they acknowledge that company policy requires them to take on uninterrupted 10-minute net rest period for every four hours they work (or major fraction thereof).

New Employees Print Specifications Report - Form DE34

Government

If you create your own format to report new hires to the state rather than using the official DE34 form, this information sheet contains the necessary data to insure that your format complies with the state's requirements.

New Employees Report - Form DE34

Government

Federal law requires all employers to report to EDD within 20 days of start of work all employees who are newly hired or rehired. This information is used to assist state and county agencies in locating parents who are delinquent in their child support obligations. An individual is considered a new hire on the first day in which they perform services for wages. In addition, any employee who is rehired after a separation of at least sixty (60) consecutive days must also be reported within the 20 days.

New Health Insurance Marketplace Coverage Options and Your Health Coverage (for Employers That Do Not Offer a Health Plan)

Government

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 Do Not Offer a Health Plan) - Spanish

Government

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)

Government

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 Offer a Health Plan) - Spanish

Government

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. ​

Notice of Employee Death

Use this form to report an employee's death for any reason, unless you know that the employee has a surviving minor child. Send a copy of the notice to the Division of Workers' Compensation.

Notice of Final Decision to Withdraw Employment Offer - Criminal History Only

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This form can be used to conduct a criminal background check after (1) a conditional offer of employment has been made to a job applicant and (2) the Notice of Preliminary Decision to Withdraw Employment Offer and the procedures described in it have been provided. Criminal background inquiries cannot be conducted prior to a conditional job offer and a final decision to withdraw an offer of employment based in any part on criminal history cannot be made until the Preliminary Notice and procedures have been provided. Use this form to notify an applicant that you have made the final decision to withdraw their conditional job offer based, at least in part, on a criminal background check. For information on obtaining and using criminal history, see Restrictions on Obtaining Criminal History and Obtaining Background Checks and Investigations by Employers. For information on investigative consumer reports, see Obtaining Investigative Consumer Reports. This form is not intended for use if you are hiring in San Francisco, the City of Los Angeles or the unincorporated areas of Los Angeles County; these regions are covered by the San Francisco Fair Chance Ordinance, the Los Angeles Fair Chance Initiative in Hiring Ordinance and/or the Los Angeles County Fair Chance Ordinance for Employers.

Notice of Final Decision to Withdraw Employment Offer - Criminal History Only - Spanish

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This form can be used to conduct a criminal background check after (1) a conditional offer of employment has been made to a job applicant and (2) the Notice of Preliminary Decision to Withdraw Employment Offer and the procedures described in it have been provided. Criminal background inquiries cannot be conducted prior to a conditional job offer and a final decision to withdraw an offer of employment based in any part on criminal history cannot be made until the Preliminary Notice and procedures have been provided. Use this form to notify an applicant that you have made the final decision to withdraw their conditional job offer based, at least in part, on a criminal background check. For information on obtaining and using criminal history, see Restrictions on Obtaining Criminal History and Obtaining Background Checks and Investigations by Employers. For information on investigative consumer reports, see Obtaining Investigative Consumer Reports. This form is not intended for use if you are hiring in San Francisco, the City of Los Angeles or the unincorporated areas of Los Angeles County; these regions are covered by the San Francisco Fair Chance Ordinance, the Los Angeles Fair Chance Initiative in Hiring Ordinance and/or the Los Angeles County Fair Chance Ordinance for Employers.

Notice of Offer of Regular Modified or Alternative Work for Injuries Occurring on or After 1-1-13 (DWC-AD 10133.35)

Government

Use this form in making a return-to-work offer. This form is to be used for injuries occurring on or after 1/1/13.

Notice of Preliminary Decision to Withdraw Employment Offer - Criminal History Only

Personalize

This form can be used to conduct a criminal background check after a conditional offer of employment has been made to a job applicant. Criminal background inquiries cannot be conducted prior to a conditional job offer. Use this form to notify an applicant that you may withdraw their conditional job offer based, at least in part, on a criminal background check. Include a copy of the report with this notice. For information on obtaining and using criminal history, see Restrictions on Obtaining Criminal History and Obtaining Background Checks and Investigations by Employers. For information on investigative consumer reports, see Obtaining Investigative Consumer Reports. This form is not intended for use if you are hiring in San Francisco, the City of Los Angeles or the unincorporated areas of Los Angeles County; these regions are covered by the San Francisco Fair Chance Ordinance, the Los Angeles Fair Chance Initiative in Hiring Ordinance and/or the Los Angeles County Fair Chance Ordinance for Employers.

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