Form RA is a California form that, when filled out and submitted by an employee, can be used to request information from their employer regarding the status of their job. This form can also be used to request copies of workplace policies and other items related to the employee's job. Employees are typically required to use Form RA when they have been terminated or laid off, or if they have any other questions or concerns about their employment. When completing this form, it is important to provide as much detail as possible so that the employer can best address the employee's questions or concerns.
| Question | Answer |
|---|---|
| Form Name | Dlse Form Ra |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | DLSE Form RA dlse 8 fillable form |
STATE OF CALIFORNIA
DEPARTMENT OF INDUSTRIAL RELATIONS DIVISION OF LABOR STANDARDS ENFORCEMENT
Plaintiff
v.
Defendant
Case No(s):
FORM TO BE KEPT CONFIDENTIAL (IF BOX CHECKED)
REQUEST FOR ACCOMMODATIONS BY
PERSONS WITH DISABILITIES
1. |
Name: |
|
|
Telephone Number: |
|
|
|
||
2. |
Address: |
|
|
|
|
|
|
|
|
3. |
Person making request is: |
Plaintiff |
Attorney |
Employer |
Other: |
|
|||
4.Dates accommodations needed (specify):
5.Impairment necessitating accommodations (specify):
6.Type of accommodations (specify):
7.I request that my identity: be kept CONFIDENTIAL NOT be kept CONFIDENTIAL
Date:
(TYPE ORPRINT NAME)(SIGNATURE OF REQUESTOR)
DLSE |
Section 5 |
[1/3/2006] |
Page 1 of 1 |