Triebsch & Frampton

a Professional Law Corporation



Personnel Forms - The following forms may be useful in your HR toolbox.  Contact Jim McDade at jmcdade@turlocklaw.net for information about obtaining any of the following personnel forms.

SECTION A       ALTERNATIVE WORKWEEK SCHEDULE FORMS

1.     Instructions for Alternative Workweek Schedules

California Specific

11 pages

2.     Proposed AWS & Notice of Meeting

California Specific

4 pages

3.     Election Form for AWS

California Specific

1 page

4.     AWS Agreement

California Specific

4 pages

5.     Notice of Results of AWS Election

California Specific

1 page

SECTION B       FAIR CREDIT REPORTING ACT FORMS

1.     Employer’s Summary of FCRA

Federal with Cal Options

6 pages

2.     Notice & Authorization

Federal with Cal Options

2 pages

3.     Certification of Compliance

Federal with Cal Options

1 pages

4.     Intended Adverse Action Notice

Federal with Cal Options

1 pages

5.     Adverse Action Notice

Federal with Cal Options

1 pages

6.     A Summary of Your Rights

Federal with Cal Options

4 pages

SECTION C       GENERAL PERSONNEL FORMS

1.     Acknowledgment of Consensual Relationship

Nonspecific

2 pages

2.     Acknowledgment of Harassment Policy

Nonspecific

1 page

3.     Acknowledgment of Receipt

Nonspecific

2 pages

4.     Amendment to Employee Handbook

Nonspecific

1 page

5.     Arbitration Agreement & Policy

Nonspecific

4 pages

6.     Authorization for Disclosure of Medical Information Form

California Specific

2 pages

7.     Authorization for Release of Employment Information

Nonspecific

1 page

8.     Certification of Past Health Insurance Coverage (HIPPA)

Federal

1 page

9.     Conditional Job Offer

Nonspecific

1 page

10.   Disabled Employee Job Evaluation Form

Nonspecific

2 pages

11.   Employee Personal Info Sheet

Nonspecific

1 page

12.   Employee Tracking Form

Nonspecific

3 pages

13.   Employment Application Form

Nonspecific

7 pages

14.   Employment Reference Form

Nonspecific

1 page

15.   Employment Separation Notice

Nonspecific with Cal Option

2 pages

16.   Investigation – Employee Coaching Form

Nonspecific

1 page

17.   Investigation – Employee Complaint Form

Nonspecific

2 pages

18.   Investigation – Policy Statement

Nonspecific

1 page

19.   Investigation – Procedure Form

Nonspecific

3 pages

20.   Investigation Witness Statement

Nonspecific

1 page

21.   Job Description Form

Nonspecific

2 pages

22.   Job Performance Evaluation Form

Nonspecific

1 page

23.   Non-Raiding Agreement

Nonspecific with Cal Options

1 page

24.   Outside Employment Authorization

Nonspecific

1 page

25.   Predesignation of Health Care Provider

California Specific

3 pages

26.   Social Security Number No-Match Letter

Nonspecific

3 pages

27.   Training Session Roll Sheet

Nonspecific

1 page

28.   Verbal Notice of Staff Change

Nonspecific

1 page

SECTION D       LEAVE OF ABSENCE FORMS

1.     ADA Leave Letter

Nonspecific with Cal Options

1 page

2.     Disability Status Letter

Nonspecific

2 pages

3.     Doctor’s Assessment of Ability to Perform Job

Nonspecific

4 pages

4.     Doctor’s Cert of Employee’s Need to Care for Another

Nonspecific

2 pages

5.     FMLA Request & Response Notice

Nonspecific with Cal Options

7 pages

6.     Leave and Vacation Request Form

Nonspecific

3 pages

7.     Pregnancy Disability Leave Request & Response Notice

California Specific

7 pages

SECTION E       WAGE & HOUR FORMS

1.     Authorization for Deduction – General

Nonspecific

2 pages

2.     Authorization for Deduction – Specific Debt

Nonspecific

2 pages

3.     Compensatory Time Off Request Form

California Specific

2 pages

4.     Housing Benefit Agreement

California Specific

4 pages

5.     Housing Benefit Termination Notice

California Specific

3 pages

6.     Make Up Time Request Form

California Specific

1 page

7.     Mandatory Day Off - Exemption Request

California Specific

1 page

8.     Meal Break Blanket Waiver for 6-Hour Employees

California Specific

1 page

9.     Meal Break Daily Waiver for 6-Hour Employees

California Specific

1 page

10.   Meal Value Agreement - Crediting Value of Meal

California Specific

1 page

11.   Multiple Pay Rate Agreement

California Specific

1 page

12.   On-Duty Meal Period Agreement

California Specific

1 page

13.   Pay Rate Change Form

Nonspecific

1 page

14.   Production Bonus Agreement for Crews

California Specific

2 pages

15.   Rest Break Recording Form

Nonspecific

1 page

16.   Time Sheet – Construction Job – Piece Rate

California Specific

1 page

17.   Time Sheet – Job Tracking with Travel Time

California Specific

2 pages

18.   Time Sheet – Production Pay

California Specific

1 page

19.   Time Sheet – Semi-monthly Pay – Breaks Unrecorded

California Specific

2 pages

20.   Time Sheet – Weekly Payroll – Breaks Recorded

California Specific

1 page

21.   Time Sheet – Weekly Payroll – Breaks Unrecorded

California Specific

1 page

22.   Tools and Safety Equipment Agr

California Specific

1 page

23.   Transportation / Travel Time Agreement

California Specific

1 page

24.   Tuition Payback Agreement

Nonspecific

3 pages


3 0 0   N o r t h   P a l m   S t r e e t,   T u r l o c k,   C a l i f o r n i a   9 5 3 8 0                    T e l e p h o n e:  2 0 9 - 6 6 7 - 2 3 0 0