EMPLOYER PACK FILE DOWNLOADS


Employer Pack Client Access
ADA Approval Letter.docx (15.42 KB)
ADA Checklist, Interactive Process.pdf (31.08 KB)
ADA Denial Letter.docx (15.61 KB)
Benefit Notice Cancellation Form.docx (16.71 KB)
CFRA Brochure.pdf (527.43 KB)
DE 2511 - Paid Family Leave Brochure (3-19) - Spanish.pdf (298.11 KB)
DE 2511 - Paid Family Leave Brochure (3-19).pdf (300.23 KB)
DE 2515 - State Disability Insurance Provisions Brochure (3-19) - Spanish.pdf (772.98 KB)
DE 2515 - State Disability Insurance Provisions Brochure (3-19).pdf (920.39 KB)
DE 2548 F - Physician-Practitioners Guide to Paid Family Leave (12-17).pdf (433.10 KB)
Declination Form.docx (15.21 KB)
Dependent Children Definitions.docx (16.08 KB)
Dependent Verification Form.pdf (15.94 KB)
DFEH 100-21 - CFRA_Pregnancy Leave (3-19).pdf (183.96 KB)
DFEH 100-21S - CFRA_Pregnancy Leave - Spanish (3-19).pdf (183.81 KB)
DFEH-186 - Pregnancy Leave (11-14).pdf (330.95 KB)
DFEH-188 CFRA Leave Brochure (CFRA 50+).pdf (401.88 KB)
Doctor's Certificate for Transfer due to PDL.pdf (7.35 KB)
Doctor's Certificate to Return to Work.pdf (7.55 KB)
Doctor's Certification for PDL.pdf (8.06 KB)
DOL WH-384- Family Leave for Qualifying Exigency Related to Active Duty (2-13).pdf (147.59 KB)
Dr's Certification and Return to Work forms.docx (19.11 KB)
Employee Benefits, Perks, Loyalty.docx (18.48 KB)
Family Care and Medical Leave (CFRA Leave) and Pregnancy Disability Leave Notice- Spanish.pdf (163.15 KB)
Family Care and Medical Leave (CFRA Leave) and Pregnancy Disability Leave Notice.pdf (67.15 KB)
FMLA - Key Employee Notification .docx (14.18 KB)
FMLA, CFRA, Regulations Table.pdf (89.43 KB)
Health Insurance Ineligibility Notice.docx (15.37 KB)
HIPAA - Certificate of Health Coverage.docx (16.95 KB)
HIPAA Breach Notification Letter.docx (42.06 KB)
IRS - 1095-A (2018) Instructions.pdf (108.78 KB)
IRS - 1095-A (2018) New Insurance Marketplace Statement.pdf (122.49 KB)
IRS - 1095-B (2018) Health Coverage.pdf (305.43 KB)
IRS - 1095-B (2018) Instructions.pdf (165.24 KB)
IRS - 1095-C (2018) Employer Provided Health Ins Offer & Coverage.pdf (313.88 KB)
IRS - 1095-C (2018) Instructions.pdf (250.50 KB)
Leave Chart - Pay and Forms Required.docx (17.09 KB)
Leave Tracking Chart (Annual).xlsx (28.80 KB)
Letter to Request Medical Certification or Release.docx (18.73 KB)
LOA (No FMLA-1st Year Employee).docx (23.55 KB)
LOA Checklist.docx (18.05 KB)
LOA Forms Packet -FMLA, CFRA, PDL.docx (240.70 KB)
LOA Letter - Insurance Ending.docx (19.37 KB)
LOA Letter - Jury Duty.docx (21.15 KB)
LOA Letter - Missing Med Certification for Extension.docx (18.97 KB)
LOA Letter - New Parent Leave.docx (16.88 KB)
LOA Letter - Personal Leave Denied.docx (20.46 KB)
LOA Letter - Personal Leave.docx (19.44 KB)
LOA Letter - Personal Medical Leave (NO FMLA).docx (20.66 KB)
LOA Letter - Personal Medical Leave after FMLA Exhausted.docx (19.10 KB)
LOA Letter - PFL Only (No FMLA).docx (19.52 KB)
LOA Letter - Request for Medical Certification.docx (18.84 KB)
LOA Letter - Term of 1st Year Employee Requesting FMLA.docx (17.34 KB)
LOA Letter- Workers' Comp (No FMLA).docx (19.50 KB)
Medical Certificate of Release to Return to Work.docx (14.45 KB)
Medical Certification Authentication and Clarification.docx (16.11 KB)
Open Enrollment Cover Letter.docx (18.57 KB)
Open Enrollment Flyer English & Spanish.docx (25.28 KB)
Open Enrollment Letter.docx (27.36 KB)
PDL ONLY - NO FMLA (All-in-One).docx (24.08 KB)
PDL Transfer and or Reasonable Accomodation Health Care Provider Certification.doc (29.00 KB)
Term Letter LOA - 1st Year Employee Requesting FMLA.docx (19.13 KB)
Time Off Request Form Spanish.docx (16.77 KB)
Time Off Request Form.docx (15.80 KB)
WH-384 Qualifying Exigency.pdf (77.71 KB)