Skip to content

HIPP Notice (DHCS 9061)

A notice that must be provided to most employees leaving their job in California. It informs employees about eligibility for financial assistance with health insurance premiums.

Members get instant, full access to HR Forms PLUS:

  Unlimited HR phone and email support
  Members-only website access and discounts
...and more!

Get all of our members-only forms and toolkits by becoming a member today! As a member you'll also get:
  Unlimited HR phone and email support
  Members-only website access and discounts
...and more!

HIPP Notice Form Thumbnail

Related Forms & Toolkits

New Hire and Orientation Checklist

Meal & Rest Period Acknowledgement

Meal Period Waiver