CA OHR 64 2017 free printable template
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State of California ALTERNATE WORK WEEK AGREEMENTEmployee Name:Date:Classification:Position Number:Division:Effective Dates:Alternate Work Week Schedule (check one) 9/8/80 Work Schedule: o8Hour Day/Regular
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How to fill out CA OHR 64
01
Obtain the CA OHR 64 form from the appropriate state website or agency.
02
Fill out the applicant's personal information in the designated sections, including name, address, and contact details.
03
Provide details about the employment situation, including employer's name, address, and phone number.
04
Indicate the type of request being made and the relevant dates of employment.
05
Attach any required supporting documentation, such as pay stubs or employment letters.
06
Review the completed form for accuracy and completeness.
07
Sign and date the form at the bottom.
Who needs CA OHR 64?
01
Individuals who have worked in California and need verification of their employment history for personal, legal, or financial reasons.
02
Employers who need to provide proof of employment for their former or current employees.
03
Anyone applying for benefits or services that require proof of employment in California.
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What is CA OHR 64?
CA OHR 64 is a form used in California for reporting specific information related to workers' compensation claims and employer obligations under the California labor laws.
Who is required to file CA OHR 64?
Employers who are subject to California's workers' compensation laws and have employees must file CA OHR 64 as part of their compliance with reporting requirements.
How to fill out CA OHR 64?
To fill out CA OHR 64, employers must provide relevant information including employee details, nature of the injury or illness, and any actions taken regarding the workers' compensation claim.
What is the purpose of CA OHR 64?
The purpose of CA OHR 64 is to ensure that employers comply with reporting requirements regarding workplace injuries and to facilitate the processing of claims by workers' compensation agencies.
What information must be reported on CA OHR 64?
The information that must be reported on CA OHR 64 includes employee information, details of the incident, nature of the injury or illness, and the date of the incident among other relevant details.
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