[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-284599-105":3,"detail-sidebar-cat-1-en-105":81,"doc-detail-284599-en":126},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","notice-to-employee-as-to-change-in-relationship-official-form","Notice to Employee as to Change in Relationship - Official Form","","This document provides an official template for employers to notify employees regarding changes in their employment status as required by Section 1089 of the California Unemployment Insurance Code. It includes fields for the employee's name, Social Security number, date of hire, and specific notification check-boxes for layoffs, discharges, leaves of absence, or transitions to independent contractor status. The template ensures regulatory compliance by documenting the effective date of the change and the employer's identifying information. 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Code .\u003Cbr>No written notice is required in any of the following situations:\u003Cbr>* Voluntary quit\u003Cbr>* Promotion or demotion\u003Cbr>* Change in work assignment or work location\u003Cbr>* Cessation of work due to a trade dispute |\n| Employee Name |\n| Employee’s SSA \\# Date of Hire  20  |\n| 9 You were laid off/discharged on 20 |\n| 9 You were on leave of absence starting 20 |\n| 9 Your status changed from an employee to an independent contractor on 20 |\n| NAME OF EMPLOYER Date  20  |\n\nE    \n\n| NOTICE TO EMPLOYEE AS TO CHANGE IN RELATIONSHIP |\n| --- |\n| Issued pursuant to provisions of Section 1089 of the California Unemployment Insurance Code .\u003Cbr>No written notice is required in any of the following situations:\u003Cbr>* Voluntary quit\u003Cbr>* Promotion or demotion\u003Cbr>* Change in work assignment or work location\u003Cbr>* Cessation of work due to a trade dispute |\n| Employee Name |\n| Employee’s SSA \\# Date of Hire  20  |\n| 9 You were laid off/discharged on 20 |\n| 9 You were on leave of absence starting 20 |\n| 9 Your status changed from an employee to an independent contractor on 20 |\n| NAME OF EMPLOYER Date  20  |\n\nCourtesy Pacific Employers  \nFebruary 20, 2009  \nChange in Relationship Form .wpd","cbCaiauyYCPVjcVa","https://ap.wps.com/l/cbCaiauyYCPVjcVa","pdf",66062,"English","# Notice to Employee as to Change in Relationship\n## Regulatory Requirements\n## Employee Information Details\n## Change of Status Categories","[{\"question\":\"Which legal code governs this notice?\",\"answer\":\"This notice is issued pursuant to the provisions of Section 1089 of the California Unemployment Insurance Code.\"},{\"question\":\"In which situations is a written notice NOT required?\",\"answer\":\"A written notice is not required for voluntary quits, promotions or demotions, changes in work assignment or location, or cessation of work due to trade disputes.\"},{\"question\":\"What specific status changes are tracked on this form?\",\"answer\":\"The form tracks layoffs or discharges, leaves of absence, and transitions from an employee status to an independent contractor status.\"}]","Notice to Employee as to Change in Relationship - Official Form | PDF",1789628946]