Safety, HR and Worker's Compensation Expert
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Government Sites

Links to Government Forms and Resouces on benefits, compensation, health and safety, workers' compensation and other important topics.

Benefits

Annual Return/Report Form 5500 Series
[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 

ERISA Filing Acceptance System (Computer Scannable Form 5500) 

FMLA Certification of Health Care Provider (Form WH-380) 

FMLA Employer Response to Request for FMLA (Form WH-381) 

401(k) Plan Fee Disclosure Form 

IRS Reporting Forms for Retirement Savings Programs 

Mental Health Parity Exemption Notice 

Women's Health and Cancer Rights Act Required Annual Notice 

Compensation

IRS Publication and Forms (W-2, W-3, W-4, W-5, 941, Publication 502/eligible medical expenses, etc.)

Social Security Administration Form SS-5/ Application for a Social Security Card 

State Income Tax Forms 

Health/Safety/Security

OSHA Publications 

OSHA/Recording Injuries and Illnesses 

OSHA 300 effective 1/1/2002 

Selection and Practices

EEO-1 (Instruction Manual, Job Classification Guide, Sample EEO-1 Form) 

INS Form I-9 

Summary of Rights Under the Fair Credit Reporting Act 

VETS 100 

Youth Rules Initiative 

New Hires

Reporting New Employees to the EDD - 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:

  • Contact your local ETO for less than 25 copies;
  • Call (888) 745-3886 for 25 or more forms;
  • Visit EDD’s Home Page 

Terminations

To Order EDD Booklets

DE 2320 – For your Benefit, California’s Program for the Unemployed
EDD Employment Development Department, State of California

Internet Services: Unemployment Insurance, Disability Insurance & Workers Compensation - Unemployment Insurance

Workers' Compensation Form

Internet Service: Unemployment Insurance, Disability Insurance & Workers Compensation Information
Form: SCIF 3301- DWC Form 1 – E
Employee’s Claim for Workers’ Compensation Benefits

Return To Work

Notice of Offer of Modified or Alternative Work (DWC-AD 10133.530)

Description of Job Duties (DWC RU-91)

Employers Report of Occupational Injury of Illness (Form 5020) 

Workers’ Compensation Claim Form (DWC-1) 

Medical Provider Network Notice - see your insurer. For example, State Compensation Insurance Fund’s English Language notice is available at: (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

CAL/OSHA Consultation Programs - Toll-free number: 1-800-963-9424 

U.S. Department of Labor - Occupational Safety & Health Administration U.S. Department of Labor – Employment Standards

Administration Wage and Hour Division
Compliance Assistance – Family and Medical Leave Act (FMLA) 

Find by Topic:
COBRA, ERISA, Newborn’s Act, HIPPA, Womens’ Health & Cancer Rights Protection 

ADA Information Line
U.S. Department of Justice
For ADA documents and questions
800-514-0301 (voice) 800-514-0383 (TTY)

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)

U.S. Department of Transportation
ADA Assistance Line for regulations and complaints

Federal Communications Commission

U.S. Architectural and Transportation Barriers Compliance Board

U.S. Department of Labor Job Accommodation Network

U.S. Department of Education
Regional Disability and Business Technical Assistance Centers

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

Contact Don Dressler for more details at 949-533-3742.