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COBRA Continuation Coverage Rights General Notice — California Employees — 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.

COBRA Continuation Coverage Rights General Notice — Outside California

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.

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.

COBRA Notice to Plan Administrator

Personalize

Use this form to provide notice to the plan administrator within 30 days of an employee's loss of coverage due to termination, reduction in hours, death or employer bankruptcy.

COBRA Rights - Acknowledgement of Receipt of Notification

Personalize

Provide this form to an employee if the employee has coverage for himself/herself plus any other family members and coverage is being ended due to termination of employment or reduction in hours. You need to send out additional COBRA notices to those individuals indicated on the form who do not reside with the employee.​

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.

CPRA Flowchart: Does the California Privacy Rights Act Apply to My Business?

Use this flowchart to help determine if the California Privacy Rights Act (CPRA) applies to your business.

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.

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).

Cal-COBRA - Notice to Carrier

Personalize

Send this notice to the health/disability insurance carrier when any qualified beneficiary becomes subject to Cal-COBRA because of a qualifying event. You must notify the employee’s carrier within 31 days of the event.

Cal-COBRA - Notice to Employee

Send this notice to an employee at least 30 days before a current group benefit plan terminates because of a change in group plans. You must send information about the new group benefit plan, benefits information, premium information, enrollment forms, instructions, etc., necessary to allow the qualified beneficiary (employee) to continue coverage. Send this notice via certified mail and keep a record of the mailing on file.​

CalOSHA Forms 300 300A and 301

Government

A CalOSHA-created spreadsheet containing all three required forms to report workplace injuries.

CalOSHA Training Requirements

Use this form to help you determine which Cal/OSHA safety standards apply to your company and what corresponding training is recommended.

California Family Rights Act Fact Sheet

This fact sheet outlines an employee's right for leave under the California Family Rights Act (CFRA). You may choose to give this fact sheet to each employee eligible for CFRA and/or who requests leave that qualifies as CFRA, but there's no requirement that you do so.​​

California Family Rights Act Fact Sheet - Spanish

This fact sheet outlines an employee’s right for leave under the California Family Rights Act (CFRA).​ You may choose to give this fact sheet to each employee eligible for CFRA and/or who requests leave that qualifies as CFRA, but there's no requirement that you do so.​

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