LWDA Forms and Publications

To ease your search for forms and publications, we have compiled a list of the most frequently requested items. They are categorized for Businesses and for Workers. If you do not find the form or publication you are searching for, use the links to more forms and publications at the end of each section.

The forms on this Web site are replicas of the official forms and are in Adobe’s Portable Document Format (PDF) . You need the Adobe Acrobat Reader to view or print the forms. You can download the free Adobe Acrobat Reader at http://www.adobe.com.

Business

  • Apply for electronic fund transfer of payroll deposits
    Electronic Funds Transfer Program Information Guide - DE 27
  • Apply for permission to employ minors in the entertainment industry
    Application for Permission to Employ Minors in the Entertainment Industry - DLSE 281
  • Apply for approval of your Labor compliance program - Labor compliance program materials
  • Apply for work sharing – unemployment insurance plan
    Work Sharing - Unemployment Insurance Plan Application - DE 8686
  • Appeal an unemployment benefit eligibility decision
    Employment Development Department Appeal Form - DE 100M English/Spanish
  • Register your business as a California employer
    • Agricultural - Registration Form for Agricultural Employers - DE 1AG
    • Commercial, Pacific maritime or fishing boat - Registration Form for Commercial/Pacific Maritime/Fishing Boat Employers - DE 1
    • Governmental organizations, public schools or Native American tribes - Registration Form for Governmental Organizations, Public Schools, & Indian Tribes - DE 1GS
    • Household - Registration Form for Employers of Household Workers - DE 1HW
    • Not-for-profit organizations - Registration Form for Non-Profit Employers - DE 1NP
    • Reporting personal income tax only - Registration Form for Employers Depositing Only Personal Income Tax Withholding - DE 1P
    • Selection of financing unemployment for any public education facility - Selection of Financing Method to Cover Excluded Services - DE 1SE
    • Selection of financing unemployment for a not-for-profit Organization -
      Selection of Financing Method by a Nonprofit Organization Described in Section 501(c)(3) of the Internal Revenue Code - DE 1SNP
  • Report an injury or illness in your workplace
    Employers Report of Occupational Injury or Illness - DLSR FORM 5020
  • Send payroll tax deposits
    Payroll Tax Deposit - DE 88ALL

For additional forms and publications on:

Workers

  • Employment Development Department Disability Insurance Information
  • Employment Development Department Unemployment Insurance Information
  • Appeal an unemployment benefit eligibility decision
    Employment Development Department Appeal Form DE 1000M English/Spanish
  • Apply for permission to work in the entertainment industry
    Application for Permission to Work in the Entertainment Industry DLSE 277
  • Apply for workers’ compensation benefits
    How to File a Claim Form DWC Form 1 English/Spanish
  • File a wage claim
    Initial Report or Claim/Reporte Inicial o Reclamo DLSE 1 English/Spanish
  • File a wage discrimination complaint
    Discrimination Complaint/Queja de Discrimination DLSE 205

For additional forms and publications on: