-
Absence Request - Spanish
Preview
Employees should use this form when requesting future time off or reporting previous time off. This form also gives your employees the opportunity to indicate a Family Medical Leave absence, although it is not required.
-
Anti-Harassment Sample Policy - Spanish
Preview
Provide this policy to employee which states that you prohibit harassment in the workplace. You may include this policy in your employee handbook.
-
Application for Permission to Work - Entertainment Industry - DLSE277 - Spanish|Free
Preview | Download
Use this Division of Labor Standards Enforcement (DLSE) application when employing minors to work in the entertainment industry. This form is not a permit.
-
Application to Employ Minors - Entertainment Industry - DLSE281 - Spanish|Free
Preview | Download
Use this form if you are planning to hire a minor to work in the entertainment industry. This form is required by law.
-
Authorization for Release of Medical Information - Spanish
Preview
An employee uses this form to authorize that a physician may release the information included in the Medical Certification to the employer for determining eligibility for family/medical leave and/or pregnancy disability leave.
-
Basic Poster and Notice Requirements under the Family Medical and Pregnancy Leave Laws - Spanish
Preview
Review this chart to determine your responsibilities under family/medical and pregnancy leave laws.
-
California Family Rights Act Brochure - Spanish
Preview
This brochure outlines an employee’s right for leave under the California Family Rights Act (CFRA). You may give this brochure to each employee eligible for CFRA and/or who requests leave that qualifies as CFRA.
-
Certification of Health Care Provider - Employees or Family Members Serious Health Condition - Spanish
Preview
Have the employee's health care provider complete this medical certification as needed. This form is used for employee's taking leave under the Family Medical Leave Act (FMLA) and California Family Rights Act (CFRA)for their own serious health condition or that of a family member.
-
CHIP-Childrens Health Insurance Program-Model Notice for Employers - Spanish|Free
Preview | Download
If you are eligible for health coverage from your employer, but are unable to afford the premiums, some states have premium assistance programs that can help pay for coverage. These states use funds from their Medicaid or CHIP programs to help people who are eligible for employer-sponsored health coverage, but need assistance in paying their health premiums.
-
Direct Deposit Authorization - Spanish
Preview
Give this form to an employee who requests his pay delivered by direct deposit to one or more bank accounts. Before distribution, indicate the maximum number of direct deposit accounts and financial institutions.
-
E-Verify Poster - Spanish|Free
Preview | Download
Employers need to display an E-Verify poster and a Right to Work poster at hiring sites in such a way that they are clearly visible to potential employees. These posters indicate that the employer participates in E-Verify and describes employees’ rights under the program. The posters, available at the E-Verify Web site, must be displayed in both English and Spanish.
-
E-Verify Right to Work Poster - Spanish|Free
Preview | Download
Employers need to display an E-Verify poster and a Right to Work poster at hiring sites in such a way that they are clearly visible to potential employees. These posters indicate that the employer participates in E-Verify and describes employees’ rights under the program. The posters, available at the E-Verify Web site, must be displayed in both English and Spanish.
-
Earned Income Tax Credit - Employer Required Notification - Spanish
Preview
Provide this form to employees along with their W-2 or 1099 to notify them of their rights under the federal Earned Income Tax Credit (EITC) program.
-
Emergency Information - Spanish
Preview
Use this form to obtain an employee's contact information in case of emergency. Keep this form in the employee's personnel file.
-
Federal Family and Medical Leave Act Poster - Notice C - Spanish
Preview
This poster satisfies the required federal posting notice regarding the availability family and medical leave. Employers should give a copy of the FMLA notice at the time of hire if they do not publish an employee handbook. Best practice is to provide the notice at time of hire regardless of whether you also include the notice in your employee handbook.
The Federal Family and Medical Leave Act Poster - Notice C has been updated by the U.S. Department of Labor with a revision date of February 2013. You may start using the poster with the February 2013 revision date immediately, or you may still use the old FMLA poster through March 7, 2013. The new federal regulations requiring the poster change are not effective until March 8. It is important to note, however, that the provision on the poster related to military caregiver leave for a veteran will not be available until the effective date of new federal regulations on March 8, 2013.
-
Federal Minimum Wage Poster - Spanish - Black and White|Free
Preview | Download
Every employer of employees subject to the Fair Labor Standards Act's minimum wage provisions must post, and keep posted, a notice explaining the Act in a conspicuous place in all of their establishments so as to permit employees to readily read it. Spanish version.
-
Federal Minimum Wage Poster - Spanish - Color|Free
Preview | Download
Every employer of employees subject to the Fair Labor Standards Act's minimum wage provisions must post, and keep posted, a notice explaining the Act in a conspicuous place in all of their establishments so as to permit employees to readily read it. Spanish version.
-
Final Paycheck Acknowledgment - Spanish
Preview
Use this form to have an employee certify receipt of final paycheck. Employers not fluent in Spanish should refer to the English version to complete this form properly.
-
Final Paycheck Direct Deposit Authorization - Spanish
Preview
Give this form to an employee who requests his final pay delivered by direct deposit to one or more bank accounts. Before distribution, indicate the maximum number of direct deposit accounts and financial institutions.
-
FMLA - Family Member Leave for a Qualifying Exigency - Spanish
Preview
This chart describes the types of events that give an eligible employee a reason for leave because of a qualifying exigency under the FMLA arising because the spouse, son, or child of the employee is on covered active duty or call to active duty.
-
FMLA - Notice of Eligibility and Rights and Responsibilities - Spanish
Preview
Use this form to notify employees taking a family medical only leave regarding their eligibility for leave and any associated rights and responsibilities.
-
FMLA CFRA Designation Notice - Spanish
Preview
Use this form to notify employees whether their family medical leave has been approved to provide conditional approval of the request for leave if more information is necessary, or to deny the request.
-
FMLA PDL Designation Notice - Spanish
Preview
Use this form to notify an employee if her leave for PDL/FMLA is approved, conditionally approved, or denied.
-
FMLA Sample Policy - 50 or More Employees - Spanish
Preview
Use this policy to satisfy the requirements regarding family medical leave.
-
H-2A Program Employee Rights - Spanish|Free
Preview | Download
Required H-2A poster for employers with agricultural (H-2A) workers.
-
Harassment Complaint Form - Spanish
Preview
Use this form to enable employees to report incidents of harassment.
-
Harassment Complaint Procedure - Spanish
Preview
Use this form to explain your company's harassment complaint procedure. Employers not fluent in Spanish should refer to the English version to complete this form properly. Distribute the procedure along with your nonharassment policy to new employees and perhaps annually to all employees.
-
Heat Illness Prevention Plan-Outdoor Employees-Spanish
Preview
Use this form to develop your company's plan and procedures for complying with Cal/OSHA regulations on heat illness prevention for outdoor workers.
-
HIPP Notice - Spanish
Preview
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.
-
I9 - Employment Eligibility Verification - Spanish|Free
Preview | Download
The Spanish version of Form I-9 may be filled out by employers and employees in Puerto Rico ONLY. Spanish-speaking employers and employees in the 50 states and other U.S. territories may print this for their reference but may only complete the form in English to meet employment eligibility verification requirements. Note: The USCIS issued a new Form I-9 on 03/08/13: Beginning May 7, 2013, employers must only use the new Form I-9 (Rev. 03/08/13 N).
The revision date is on the lower left corner of the form.
-
Kin Care Use Request - Spanish
Preview
Give this form to an employee who requests time off to care for a family member and has accrued sick leave available.
-
Makeup Time Request - Spanish
Preview
If you have a makeup time policy, have your employees use this form to request time off and schedule makeup time.
-
Meal Break Waiver - Employee Shift 6 Hours or Less - Spanish
Preview
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.
-
Medical Provider Network - Written Employee Notification - Spanish|Free
Preview | Download
The complete written MPN employee notification must be posted in both English and Spanish in a conspicuous location frequented by employees during the hours of the workday and next to the workers' compensation posting. You must give a complete written MPN employee notification about coverage under the MPN to covered employees at the time of injury or when an employee with an existing injury begins treatment under the MPN. The insurer or the employer must notify an injured employee of his or her right to be treated by a physician of his or her choice within the MPN after the first visit with the MPN physician and the method by which the list of participating providers may be accessed by the employee.
-
Minimum Wage Order - Spanish|Free
Preview | Download
Post this official California Minimum Wage notice next to the IWC Wage order for your industry.
-
Overtime Request - Spanish
Preview
Provide this form to supervisors, managers and employees and train all employees in the use of this form whenever overtime work is needed or performed.
-
Personal Chiropractor or Acupuncturist Designation Form - Spanish
Preview
Give this form to any employee who wants to pre-designate a chiropractor or acupuncturist as treating doctor for work-related injuries.
-
Personal Physician Designation Form - Spanish
Preview
Give this form to every employee prior to the end of the first payroll period following initial employment. It may be given as part of the Workers' Compensation Information Pamphlet, which must be provided at that time. The form must also be given to any employee who wants to pre-designate a personal physician (M.D., D.O. or medical group) as treating doctor for a work-related injury, upon request, at any time during employment.
-
Pregnancy Disability Leave - Notice A - 5-49 Employees - Spanish
Preview
This notice must be posted and must also be given to an employee who is seeking pregnancy disability leave or reasonable accommodation/transfer for pregnancy, childbirth or related medical condition. This notice applies to California employers with 5-49 employees (not subject to the CFRA or FMLA), and to employees not yet eligible for FMLA/CFRA. You must post this notice in a place commonly used by employees, such as a break room. This notice is also part of the California and Federal Employment Notices Poster available at the CalChamber Store.
-
Pregnancy Disability Leave and Family Medical Leave - Notice B - 50 or More Employees - Spanish
Preview
This notice must be posted and must also be given to an employee who is seeking pregnancy disability leave or reasonable accommodation/transfer for pregnancy, childbirth or related medical condition and/or who is seeking family care or medical leave. This notice applies to California employers with 50 or more employees (subject to the CFRA or FMLA). This notice satisfies the notice obligations for both PDL and CFRA leave rights (if the employee is not yet eligible for FMLA/CFRA, use Notice A). You must post this notice in a place commonly used by employees, such as a break room. Employers are also encouraged to give this notice at time of hire to each new employee. This notice is also part of the California and Federal Employment Notices Poster available at the CalChamber Store.
-
Pregnancy Discrimination Brochure - Spanish|Free
Preview | Download
Copy and distribute this sample copy of California’s Department of Fair Employment and Housing (DFEH) informational brochure to employees along with the required PDL notice. There is no legal requirement to distribute these brochures.
-
Request for Leave of Absence - FMLA CFRA PDL - Spanish
Preview
Provide this form if you're an employer covered by the federal Family and Medical Leave Act (FMLA) or the California Family Rights Act (CFRA) and either an employee has requested a leave of absence or you recognize the need.
-
Training Sign-In Sheet - Spanish
Preview
Use this sign-in sheet to document and verify which employees attend training. Employers not fluent in Spanish should refer to the English version to complete this form properly. Keep the signed form in the employee's personnel file.
-
Unemployment Insurance Benefit Table - Spanish
Preview
Review this chart to determine the employee’s quarterly wage during the employment base period and the corresponding weekly benefit amount.
-
W4 - Employees Withholding Allowance Certificate - Spanish|Free
Preview | Download
Use this required form to obtain information from an employee to determine the correct Federal income tax amount to withhold from his/her paychecks.
-
Wage Order 01 - Manufacturing - Spanish|Free
Preview | Download
California’s Industrial Welfare Commission (IWC) Wage Orders regulate wages and hours of nonexempt employees in California. Order 1 regulates wages, hours, and working conditions in the Manufacturing Industry.
-
Wage Order 08 - Industries Handling Products After Harvest - Spanish|Free
Preview | Download
California’s Industrial Welfare Commission (IWC) Wage Orders regulate wages and hours of nonexempt employees in California. Order 8 regulates wages, hours and working conditions in industries handling products after harvest.
-
Wage Order 13 - Industries Preparing Agricultural Products for Market on the Farm - Spanish|Free
Preview | Download
California’s Industrial Welfare Commission (IWC) Wage Orders regulate wages and hours of nonexempt employees in California. Order 13 regulates wages, hours and working conditions in industries preparing agricultural products for market, on the farm.
-
Wage Order 14 - Agricultural Occupations - Spanish|Free
Preview | Download
California’s Industrial Welfare Commission (IWC) Wage Orders regulate wages and hours of nonexempt employees in California. Order 14 regulates wages, hours, and working conditions in agricultural occupations.