Employers use this form to provide notice of a change in employment relationship pursuant to ?§1089 of the Cal Unemployment Insurance Code. It addresses the reasons for separation, as well as return of company property, vacation pay, and final paycheck.
Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés. For your convenience, the complete English version of this form is attached below the Spanish version.