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Offer Letter State-Specific Paperwork

Find new hire paperwork specific to the city or state in which you work. The Family and Medical Leave Act information applies to everyone except those who work in California or New Jersey. You will find this information adapted for your state below.

FAMILY AND MEDICAL LEAVE ACT

ALL STATES
(except CA & NJ)		  Leave of absence from work for medical reasons


 

CITY and STATE- SPECIFIC NEW HIRE INFORMATION

  Location

  Information to Read and Acknowledge
  CALIFORNIA 
  • FMLA, Rest/Meal Breaks, Family Care and Medical Leave and Sedgwick MPN Workers' Compensation (Espanol)

  CALIFORNIA - Pasadena
  • Minimum Wage (also view CALIFORNIA) 
  CALIFORNIA - San Diego
  • Paid Sick Leave (also view CALIFORNIA) 
  COLORADO
  • Pregnancy or Physical Recovery from Childbirth
  CONNECTICUT
  • Pregnancy and Employment Rights Notice
  DELAWARE
  • Pregnancy and Employment Rights Notice, Sexual Harassment Act
  HAWAII
  • Rights/Responsibilities under HI Family Medical Leave Law 
  • Hawaii HC-5 Form (to opt-out of medical coverage). Fax to 1-847-554-1094 or mail to Best Buy Benefits Center, PO Box 7228, Rantoul, IL 61866-7228.
  ILLINOIS - Chicago
  • Minimum Wage, Sick Leave Notice (CHICAGO or COOK COUNTY: whichever benefits the employee more)
  ILLINOIS - Cook County
  • Minimum Wage, Sick Leave Notice (CHICAGO or COOK COUNTY: whichever benefits the employee more)
  KENTUCKY
  • Equal Employment Opportunity
  MARYLAND
  • Earned Sick and Safe Leave Employee Notice

  MASSACHUSSETTS
  • Earned Sick Time, Pregnancy and Employment Rights Notice
  MINNESOTA
  • Rights Regarding Employee View of Personnel Records 
  NEVADA
  • Protection of Pregnant Workers
  NEW JERSEY
  • FMLA, Conscientious Employee Protection Act (CEPA), Gender Equity Notice, Earned Sick Leave  
  NEW YORK
  • Article 23-A: Licensure and Employment of Persons Previously Convicted of One or More Criminal Offenses, Policy Against Sexual Harassment
  NEW YORK - New York City 
  • Pregnancy and Employment Rights Notice, Earned Sick Time Notice, Sexual Harassment Act, Policy Against Sexual Harassment
    (also view NEW YORK)
  PENNSYLVANIA - Philadelphia
  • Philadelphia Fair Practices Ordinance: Pregnancy and Wage Theft Notice
  RHODE ISLAND
  • Temporary Caregiver Insurance Notice, Pregnancy Notice
  SOUTH CAROLINA
  • Pregnancy Accommodation Act
  TEXAS
  • Occupational Benefits Plan and Policy Acknowledgement 
  VERMONT
  • Earned Sick Time
  WASHINGTON
  • Rest and Meal Breaks
  WASHINGTON - Spokane
  • Earned Sick and Safe Leave Ordinance (also view WASHINGTON)
  WASHINGTON, D.C.
  • Protecting Pregnant Workers Fairness Act