Acknowledgment of Receipt of EDD and HIPP Information
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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.
|Last Updated||March 6, 2023|
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.
|TRM10007 Acknowledgment of Receipt of EDD and HIPP Information.pdf|
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