Fair Chance Act: Guide to Using DFEH’s Sample Forms

The Fair Chance Act is a California law that seeks to reduce barriers to employment for individuals with criminal histories. Below is a timeline demonstrating where in the Fair Chance Act process each DFEH sample form can be used by an employer.




  1. 1

    This is a voluntary statement that employers can choose to add to job advertisements and applications regarding the Fair Chance Act.

    View Advertisement and Application Compliance Statement

  2. 2

    This sample letter can be used by an employer to make a conditional job offer and to notify the applicant that the employer intends to conduct a criminal background check.

    View Sample Conditional Job Offer letter (English) (PDF)
    View Sample Conditional Job Offer letter (Spanish) (PDF)

  3. 3

    After making an applicant a conditional job offer and conducting a criminal background check, this sample form can be used by an employer to conduct the necessary individualized assessment of an applicant’s criminal history.

    View Sample Individual Assessment Form (English) (PDF)
    View Sample Individual Assessment Form (Spanish) (PDF)

  4. 4

    If an employer intends to revoke a job offer because of the applicant’s criminal history, this sample letter can be used by an employer to meet its obligation to provide notice to the applicant.

    View the Preliminary Notice to Revoke Job Offer (English) (PDF)
    View the Preliminary Notice to Revoke Job Offer (Spanish) (PDF)

  5. 5

    Once an employer notifies an applicant that it intends to revoke a job offer because of the applicant’s criminal history, the employer must give the applicant at least 5 days to dispute the accuracy of the information and to provide mitigating information. This sample form can be used by an employer to conduct an individualized reassessment based on information provided by the applicant.

    View Sample Individual Reassessment Form (English) (PDF)
    View Sample Individual Reassessment Form (Spanish) (PDF)

  6. 6

    If after considering any information provided by the applicant, the employer still intends to revoke the job offer, this sample letter can be used by an employer to meet its obligation to provide notice to the applicant of that decision.

    View Sample Final Notice to Revoke Job Offer (English) (PDF)
    View Sample Final Notice to Revoke Job Offer (Spanish) (PDF)

Communication Center: 800-884-1684 (voice), 800-700-2320 (TTY) or
California's Relay Service at 711 | contact.center@dfeh.ca.gov