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Spanish 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 Medical Leave absence, although it is not required.​​​​

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  • Application for Permission to Work - Entertainment Industry - DLSE277 - Spanish

    Free

    Use this Division of Labor Standards Enforcement (DLSE) application when employing minors to work in the entertainment industry. This form is not a permit.

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  • Application to Employ Minors - Entertainment Industry - DLSE281 - Spanish

    Free

    Use this form if you are planning to hire a minor to work in the entertainment industry. This form is required by law.

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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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  • California Family Rights Act Brochure - Spanish

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

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  • Certification of Health Care Provider - Employees or Family Members Serious Health Condition - Spanish

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    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.​​​

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  • CHIP-Childrens Health Insurance Program-Model Notice for Employers - Spanish

    Free

    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.  ​​​​

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  • Direct Deposit Authorization - Spanish

    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.

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  • Earned Income Tax Credit - Employer Required Notification - Spanish

    Provide this Spanish​ form to employees along with their W-2 or 1099 to notify them of their rights under the federal and California Earned Income Tax Credit (EITC) program.

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  • Emergency Information - Spanish

    Use this form to obtain an employee's contact information in case of emergency. Keep this form in the employee's personnel file.

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  • Employment Application - Long Form - Spanish

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    Use this form for new applicants. The long form includes space for more detailed information and employment history, and all other necessary sections. Only seek criminal history information when you can show that the information requested is specifically job related for the position the applicant is seeking and consistent with business necessity. State and local agencies are generally prohibited from asking applicants about criminal convictions, unless required by law. ​If you are recruiting for positions in Los Angeles and San Francisco, use the Employment Application for Los Angeles and San Francisco Employers – Long Form.​​ Download and read the Instructions prior to using this employment application form.

    Instructions​​​​

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  • Employment Application - Short Form - Spanish

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    Use this form for new applicants. The short form requires less employment history information. Only seek criminal history information when you can show that the information requested is specifically job related for the position the applicant is seeking and consistent with business necessity. State and local agencies are generally prohibited from asking applicants about criminal convictions, unless required by law. ​If you are recruiting for positions in Los Angeles and San Francisco, use the Employment Application for Los Angeles and San Francisco Employers – Short Form.​​ Download and read the Instructions prior to using this employment application form.

    Instructions​​​​​​​​​

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  • Employment Application for Los Angeles and San Francisco Employers - Long Form - Spanish

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    Employers covered by Los Angeles' Fair Chance Initiative and San Francisco’s Fair Chance Ordinance (FCO) should use this form for applicants. Employers covered by the ordinance cannot ask about criminal history on a job application. The long form includes space for more detailed information and employment history, and all other necessary sections. Download and read the Instructions prior to using this employment application form.​

    Instructions​​​

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  • Employment Application for Los Angeles and San Francisco Employers - Short Form - Spanish

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    Employers covered by Los Angeles' Fair Chance Initiative and San Francisco’s Fair Chance Ordinance (FCO) should use this form for applicants. Employers covered by the ordinance cannot ask about criminal history on a job application. The short form requires less employment history information. Download and read the Instructions prior to using this employment application form.

    Instructions​​​​

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  • Fair Credit Reporting Act - Summary of Your Rights - Spanish

    Free

    ​Provide a copy of this summary to the consumer (employee or applicant) before taking adverse action based on the results of a credit report. A copy of the report must accompany the summary.​​

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  • Family Care and Medical Leave (CFRA Leave) and Pregnancy Disability Leave Notice - 50 or More Employees - Spanish

    Free  |  Updated

    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). 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.​

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  • Federal Family and Medical Leave Act Poster - Spanish

    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.​​​​

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  • Federal Minimum Wage Poster - Spanish - Black and White

    Free

    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.​​

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  • Federal Minimum Wage Poster - Spanish - Color

    Free

    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.​​​

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  • Final Paycheck Acknowledgment - Spanish

    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.

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  • Final Paycheck Direct Deposit Authorization - Spanish

    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.

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  • FMLA - Family Member Leave for a Qualifying Exigency - Spanish

    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.​ ​

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  • FMLA - Notice of Eligibility and Rights and Responsibilities - Spanish

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    Use this form to notify employees taking a family medical only leave regarding their eligibility for leave and any associated rights and responsibilities. ​​

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  • FMLA CFRA Designation Notice - Spanish

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    Approval/Conditional Approval/Denial

    Use this form to designate leave as FMLA/CFRA, to provide conditional approval of the request for leave if more information is necessary, or to deny the request.​​​

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  • FMLA PDL Designation Notice - Spanish

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    Use this form to notify an employee if her leave for PDL/FMLA is approved, conditionally approved, or denied.  ​​​

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  • FMLA Sample Policy - 50 or More Employees - Spanish

    Use this policy to satisfy the requirements regarding family medical leave.​​​​​

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  • H-2A Program Employee Rights - Spanish

    Free

     Required H-2A poster for employers with agricultural (H-2A) workers.  

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  • Harassment Complaint Form - Spanish

    Use this form to enable employees to report incidents of harassment.

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  • Harassment Complaint Procedure - Spanish

    Use this form to explain your company's harassment complaint procedure. Distribute the procedure along with your nonharassment policy to new employees, unpaid interns and volunteers. Consider annual redistribution of the form. Best practices would include distribution to independent contractors.​​

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  • Harassment Discrimination and Retaliation Prevention Policy - Spanish - Five or More Employees

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    Provide this policy to employee which states that you prohibit harassment, discrimination and retaliation in the workplace. A written prevention policy is mandatory for California employers. You must also ensure distribution of the policy to all employees.​​​Download and read the Instructions prior to using this policy.

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  • Harassment Discrimination and Retaliation Prevention Policy - Spanish - Less Than Five Employees

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    Provide this policy to employee which states that you prohibit harassment, discrimination and retaliation in the workplace. A written prevention policy is mandatory for California employers. You must also ensure distribution of the policy to all employees.​​​​​ Download and read the Instructions prior to using this policy.

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  • Heat Illness Prevention Plan - Outdoor Employees - Spanish

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    Use this sample form to develop your company's plan and procedures for complying with Cal/OSHA regulations on heat illness prevention for outdoor workers. This form describes minimal steps applicable to most outdoor work settings to help prevent heat illness.  Make sure to modify this sample form with specific procedures tailored to your workplace and the specific conditions at your worksites.  Additional helpful information is available from Cal/OSHA.​​​​​

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  • HIPP Notice - Spanish

    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.​​

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  • I-9 - Employment Eligibility Verification - Instructions - Spanish

    Free

    ​Both employers and employees are responsible for completing their respective sections of Form I-9 to verify legal employment eligibility. ​Use these USCIS instructions to assist you in properly completing the Form I-9.​​

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  • I-9 - Employment Eligibility Verification - Spanish

    Free

    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.

    Starting 01/22/17, USCIS will only accept the 11/14/16 edition of this form. You can find the edition date at the bottom of the page on the form. See the I-9 - Employment Eligibility Verification - Instructions​ or I-9 - Employment Eligibility Verification - Instructions - Spanish​ ​to assist you in properly completing the Form I-9​.​

    Instructions​​​​​​​​​​​​​​​

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  • 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.

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  • 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.

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  • Meal Break Waiver - Second Meal - Spanish

    When you have a nonexempt worker whose shift will be more than 10 hours but less 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.

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  • Minimum Wage Order - Spanish

    Free

    Post this official California Minimum Wage notice next to the IWC Wage order for your industry.

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

    Free  |  Updated

    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. ​​

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  • New Health Insurance Marketplace Coverage Options and Your Health Coverage (for Employers That Offer a Health Plan) - Spanish

    Free  |  Updated

    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.  ​

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  • Overtime Request - Spanish

    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.

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  • Personal Chiropractor or Acupuncturist Designation Form - Spanish

    Give this form to any employee who wants to pre-designate a chiropractor or acupuncturist as treating doctor for work-related injuries.

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  • Personal Physician Designation Form - Spanish

    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.​

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  • Pregnancy Disability Leave Notice - Spanish

    Free

    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 or more employees. 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.​

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  • Request for Leave of Absence - FMLA CFRA PDL - Spanish

    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.

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  • Training Sign-In Sheet - Spanish

    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.

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  • Unemployment Insurance Benefit Table - Spanish

    Review this chart to determine the employee’s quarterly wage during the employment base period and the corresponding weekly benefit amount.

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  • W4 - Employees Withholding Allowance Certificate - Spanish

    Free

    Use this required form to obtain information from an employee to determine the correct Federal income tax amount to withhold from his/her paychecks. ​​

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  • Wage Order 01 - Manufacturing - Spanish

    Free

    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.

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  • Wage Order 08 - Industries Handling Products After Harvest - Spanish

    Free

    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.

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  • Wage Order 13 - Industries Preparing Agricultural Products for Market on the Farm - Spanish

    Free

    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.

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  • Wage Order 14 - Agricultural Occupations - Spanish

    Free

    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.

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  • Workers' Compensation Claim Form - DWC 1 - Spanish

    Free

    If an employee suffers a work-related injury or illness, he or she may be entitled to workers' compensation benefits. Give this form to the employee and have him /her complete the "Employee" section and then return the form to you. Give the employee the copy marked "Employee's Temporary Receipt," providing the employee with a dated copy when you have completed the form. All employees should also have received a pamphlet describing workers' compensation benefits and procedures to obtain them.​​ This form has been made available by the Department of Industrial Relations for use with non-English speaking employees.

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