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Gency Estimate of FECA Entitlement: A. Weekly Base Payrate (excluding overtime) Date of Injury / / $ Date Stopped Work / / $ Date of Recurrence / / $ Enter the greatest amount and the effective date of that amount on line 1. 1. / / (effective date) B. Additions to Base Pay: If employee works a regular schedule, state the amount earned weekly. If irregular schedule, state amount earned 1 year prior to date entered on line 1 by 52. Night Differential 2. Sun.

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Leave buy-back allows employees to receive cash payment in exchange for applicable leave credits. The California Department of Human Resources (CalHR) may authorize an annual Excluded Employee Leave Buy-Back Program (Program) and will notify departments of the opportunity to participate.

A Leave-Buy-Back is designed for an employee to repurchase leave that was taken as a result of disability. A request to repurchase leave that has been used is subject to the employing agency's agreement and concurrence. In other words it is up to the Agency's discretion as to whether or not to pursue a leave-buy-back.

CA-5. Subject. Claim for Compensation by Widow, Widower, and/or Children.

Continuation of Pay. The CA-2 Notice of Occupational Disease form should be used if you have sustained an occupational disease injury on the job. An Occupational Disease is a condition produced in the work environment over a period longer than one work day or shift.

On an annual basis, the California Department of Human Resources (CalHR) will determine whether or not the Program will be offered. Eligible employees may receive payment at their regular salary rate in exchange for accrued vacation, annual leave, personal leave, and/or personal holiday credits.

A vacation buy-back plan is a program that allows an employee to sell his or her unused vacation time back to the employer. This is a common practice in many organizations, and it allows employees to profit from unused vacation days.

Buy-back is the process of a candidate being made a counter-offer by their current employer to stay at a company when they resign.

Instructions Form CA-7B Leave Buy Back Worksheet. This form is intended to accompany Form CA-7, Claim for Compensation, when the employee is claiming leave buy back.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232