Compliance Department

Official Website: https://www.sandiego.gov/compliance

Forms & Documents

Browse all Compliance Department government forms

All 18 forms

Form Title Topics
Affordable Care Act (ACA)/ Ley de Cuidado de Salud Asequible
Earned Income Tax Credit (EITC)/ El Crédito Tributario por Ingreso del Trabajo
Employee Receipt Acknowledgement (English) FY21
Employee Receipt Acknowledgement (English) FY22
Employee Receipt Acknowledgement (Spanish) FY21
Employee Receipt Acknowledgement (Spanish) FY22
Employee Receipt Acknowledgement (Vietnamese) FY21
Employee Receipt Acknowledgement (Vietnamese) FY22
LWO Application for Exemption
LWO Certification of Compliance
LWO Contractor Compliance Report Form
LWO Employee Complaint Form/ Formulario de Quejas
Notice to Employees FY21 (English)
Notice to Employees FY21 (Spanish)
Notice to Employees FY21 (Vietnamese)
Notice to Employees FY22 (English)
Notice to Employees FY22 (Spanish)
Notice to Employees FY22 (Vietnamese)

Contact Information & Office Locations

1 contact point

Main Office

Address:
1200 Third Ave.
Suite 200,
MS-56P
San Diego, CA 92101

Phone numbers:
  • (619) 236-6000
Emails:
  • ComplianceDept@sandiego.gov

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