Acknowledgment of Receipt of EDD and HIPP Information

Last UpdatedSeptember 15, 2023
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Version9.23

This form establishes the employee's signed receipt of the DE 2320 and HIPP 9061 notices, which must be given to an exiting employee at time of separation.


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Receipt of EDD and HIPP Information_1.TRMA.0008.01CA.pdf
Note: This sample form is provided as a tool for employers. This form is general in nature, and may not be required by law. ManagEase is not a law firm. This form does not constitute legal advice, nor is any attorney-client relationship created or implied. Prior to using this form, we recommend that you consult with an attorney knowledgeable in any potentially applicable federal and/or state laws regarding the specific intended use of this form.
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