BENEFITS
Annual Return/Report Form 5500 Series
http://www.dol.gov/pwba/pubs/forms/formmain.htm
[Editor's Note: IRS has suspended requirement to file
Schedule F (Form 5500) for all plan years form has not been filed.
Schedule F (Form 5500) applies to adoption assistance programs,
cafeteria plans, and educational assistance programs. See www.irs.gov/news/nandf.html (select
IR-2002-043) for more information]
Defined Benefit Plan Termination Forms & Instructions
http://www.pbgc.gov/business_info/planterm.htm
ERISA Filing Acceptance System (Computer Scannable Form 5500)
http://www.efast.dol.gov/
FMLA Certification of Health Care Provider (Form WH-380)
http://www.dol.gov/esa/regs/compliance/whd/fmla/wh380.pdf
FMLA Employer Response to Request for FMLA (Form WH-381)
http://www.dol.gov/esa/forms/whd/WH-381.pdf
401(k) Plan Fee Disclosure Form
http://www.dol.gov/pwba/pubs/forms/401ktool.txt
IRS Reporting Forms for Retirement Savings Programs
http://www.elaws.dol.gov/pwba/plans/forms.asp
Mental Health Parity Exemption Notice
http://www.dol.gov/pwba/pubs/mhpafo.htm
Women's Health and Cancer Rights Act Required Annual Notice (guidelines
are located at the end of the web page)
http://www.dol.gov/pwba/pubs/womhlth.htm
COMPENSATION
IRS Publication and Forms (W-2, W-3, W-4, W-5, 941, Publication 502 for eligible
medical expenses, etc.)
http://www.irs.gov/forms_pubs/forms.html
Social Security Administration Form SS-5
Application for a Social Security Card
http://www.ssa.gov/online/ss-5.html
State Income Tax Forms
http://www.shrm.org/hrresources/whitepapers_published/misc/CMS_004645.asp
HEALTH/SAFETY/SECURITY OSHA Publications
http://www.osha-slc.gov/OshDoc/Additional.html
OSHA/Recording Injuries and Illnesses
http://www.osha-slc.gov/recordkeeping/OSHArecordkeepingforms.pdf
http://www.osha-slc.gov/recordkeeping/OSHArecordkeepingforms.pdf for OSHA
300 effective 1/1/2002
SELECTION AND PRACTICES EEO-1 (Instruction
Manual, Job Classification Guide, Sample EEO-1 Form)
http://www.mimdms.com/jrcdocs.html
INS Form I-9
http://uscis.gov/graphics/formsfee/forms/i-9.htm
Summary of Rights Under the Fair Credit Reporting Act
http://www.ftc.gov/os/statutes/2summary.htm
VETS 100
http://vets100.cudenver.edu/
Youth Rules Initiative
http://www.youthrules.dol.gov/
NEW HIRES
Reporting New Employees to
the EDD
www.edd.ca.gov -
DE-34 – click
on to download form and instructions
File within 20 days of start of work – FAX
to: 916-319-4400
To obtain additional DE 34s:
TERMINATONS To Order EDD Booklets
DE 2320 – For your Benefit, California’s
Program for the Unemployed
EDD Employment Development Department, State of California
Internet Services: www.edd.ca.gov :
Unemployment Insurance, Disability Insurance and Workers Compensation
- About Unemployment Insurance
Workers’ Compensation
Form Form:
SCIF 3301- DWC Form 1 – E
Employee’s Claim for Workers’ Compensation
Benefits
Internet Service: www.ca.gov.state:
Unemployment Insurance, Disability Insurance and Workers Compensation
- Workers Compensation Information
RETURN TO WORK Notice of Offer of Modified
or Alternative Work (DWC-AD 10133.530) http://www.dir.ca.gov/dwc/form/DWC_AD10133_55_Form.pdf
Description of Job Duties (DWC RU-91)
http://www.dir.ca.gov/dwc/RU91.pdf
Employers Report of Occupational Injury of Illness (Form 5020)
http://www.dir.ca.gov/DOSH/DoshReg/Form5020.pdf
Workers’ Compensation Claim
Form (DWC-1)
http://www.dir.ca.gov/dwc.DWCForm1.pdf
Medical Provider Network Notice - see your insurer.
For example, State Compensation Insurance Fund’s English Language
notice is available at: http://www.scif.com/pdf/e13142.pdf.
Employers must provide the Medical Provider Network
notice at the beginning of the program and to all newly hired employees.
When an employer changes insurance carriers, a new notice must be
given with information about the new carrier’s MPN. Also, every
time an employee reports a work injury; they must be given the MPN
notice, so it is best to staple the MPN notice to the DWC-1 Claim
Form.
CAL/OSHA CONSULTATION PROGRAMS
Toll-free
number: 1-800-963-9424
www.dir.ca.gov
U.S. Department of Labor
- Occupational Safety & Health
Administration
www.osha.gov
U.S. Department of Labor – Employment
Standards
Administration Wage and Hour Division
Compliance
Assistance – Family and Medical
Leave Act (FMLA)
www.dol.gov/esa
Find by Topic:
COBRA, ERISA, Newborn’s
Act, HIPPA, Womens’ Health & Cancer
Rights Protection
www.dol.gov.healthplans
ADA Information Line
U.S. Department of Justice
For ADA documents and questions
800-514-0301 (voice) 800-514-0383 (TTY)
www.usdoj.gov/crt/ada/adahom1.htm
U.S. Equal Employment Opportunity Commission
For
publications: 800-669-3362 (voice) 800-800-3302 (TTY)
For questions: 800-669-4000 (voice) 800-669-6820 (TTY)
www.eeoc.gov
U.S. Department of Transportation
ADA
Assistance Line for regulations and complaints
www.fta.dot.gov/office/civ.htm
Federal Communications Commission
www.fcc.gov/cib/dro
U.S. Architectural and Transportation Barriers Compliance
Board
www.access-board.gov
U.S. Department of Labor Job Accommodation Network
www.jan.wvu.edu
U.S. Department of Education
Regional Disability and Business Technical Assistance Centers
www.adata.org
Addresses for ADA Information
U.S. Department of Justice
Civil Rights Division
Disability Rights Section
P.O. Box 66738
Washington, DC 20035-6738
U.S. Equal Employment Opportunity Commission
1801 L Street, NW
Washington, DC 20507
U.S. Department of Transportation
Federal Transit Administration
400 Seventh Street, SW
Washington, DC 20590
Federal Communications Commission
1919 M Street, NW
Washington, DC 20554
Architectural and Transportation Barriers Compliance Board
1331 F Street, NW Suite 1000
Washington, DC 20004-1111
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