Compliance Forms & Resources Service

Compliance Forms & Resources

We have several helpful forms and resources available.
If you don’t see what you’re looking for, please contact us!

California Family Rights Act

DescriptionPublishedLink
Family Care and Medical Leave Fact Sheet (ENG)Dec 2020View PDF
Family Care and Medical Leave Fact Sheet (SP)Dec 2020View PDF
California Family Rights Act Certification

DescriptionPublishedLink
CFRA Certification Health Care Provider (ENG)Dec 2020View PDF
CFRA Certification Health Care Provider (SP)Dec 2020View PDF
Employment Discrimination Based on Disability

DescriptionPublishedLink
DFEH Employment Discrimination Brochure (ENG)Aug 2019View PDF
DFEH Employment Discrimination Brochure (SP)Aug 2019View PDF
Pregnancy Disability Leave

DescriptionPublishedLink
Pregnancy Disability Leave Fact Sheet (ENG)Dec 2020View PDF
Pregnancy Disability Leave Fact Sheet (SP)Dec 2020View PDF
Pregnancy Disability Leave Certification

DescriptionPublishedLink
Pregnancy Certification Health Care Provider (ENG)Jun 2017View PDF
Pregnancy Certification Health Care Provider (SP)Jun 2017View PDF
Upcoming CFRA Expansion Overview

DescriptionPublishedLink
Expanded Family and Medical Leave (ENG)Dec 2020View PDF
Expanded Family and Medical Leave (SP)Dec 2020View PDF
Your Rights and Obligation as a Pregnant Employee

DescriptionPublishedLink
Your Rights and Obligations as a Pregnant Employee (ENG)Dec 2020View PDF
Your Rights and Obligations as a Pregnant Employee (SP)Dec 2020View PDF

DISCLAIMER: The attached sample forms are outlined designed to provide accurate and authoritative information in a highly summarized manner in regard to the subject matter covered. They are provided with the understanding that Return to Work Partners is not engaged in rendering legal services. If legal assistance is required, the services of competent legal professionals should always be sought. These forms are samples and should be reviewed with competent legal counsel prior to use.

  • Reasonable Accommodation / Interactive Process:
    • DISABILITY COMPLIANCE ASSESSMENT (D.C.A) View PDF

      Instructions: To be hand delivered or by mail to employee.

    • GENERIC INVITATION TO ENGAGE IN THE INTERACTIVE PROCESS View PDF

      Instructions: To be hand delivered or by mail to employee.

    • GENERIC EMPLOYER’S Request for Reasonable Accommodation Form View PDF

      Instructions: To be hand delivered or by mail to employee.

    • GENERIC EMPLOYEE’S Request for Reasonable Accommodation View PDF

      Instructions: To be completed by employee; delivered by mail or by hand to Employer to initiation the Interactive Process.

  • Ergonomics Evaluations Forms & Resources:

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