Document Center

New Hire Paperwork

• Complete New Hire Paperwork
• Application For Employment
• Employment Agreement
• Form W-4 (2007)
• Form W-4 (2008)
• Authorization Agreement For Automated Deposits
• Employee Web Access Enrollment Form
• I-9 (Employment Eligibility Verification)
• Employee Policy Guide Acknowledgement Form
• Additional Employment Information
• Group Life Insurance Beneficiary Designation

A Plus Benefits Employee Policy Guide & Drug Policy

• Policy Guide & Drug Policy

Employee Benefits Forms

• Medical Enrollment Form
• Dental Enrollment Form
• Standard Optical Enrollment Form
• Vision Service Plan Enrollment Form
• Benefits Change Form (Medical, Dental, Vision)
• Flexible Spending Account & Dependent Care Enrollment Form - 2008
• Flexible Spending Claim Voucher
• Dependent Care Claim Voucher
• Health Savings Enrollment Kit
• US Bank Health Savings Enrollment Form
• Health Savings Account Deduction Authorization Form
• Employee Benefits Questionnaire
• Home Owners & Auto Quote Information Sheet
• Group Life Insurance Summary Page
• Group Supplemental Life Insurance Health Form

401(k) Forms

• For 401(k) enrollment, click here. You will need the information below.
• Contract #: 11490
• Access code: 000000
• 401(k) Frequently Asked Questions (FAQs)
• Employee Data Change Form
• Loan Request Forms
• Main Form
• Required Attachment
• Termination and Retirement Withdrawal Form
• Death Benefit Withdrawal Form
• ARA Investment Change Form
• Supplemental Information for Distributions Form

Human Resource Forms

• Family and Medical Leave Act (FMLA) Request Form
• Payroll Deduction Authorization Form
• IRS 20 Factor Test for Independent Contractors
• Progressive Discipline
• Decision Making Leave Worksheet
• Administrative Exemption to Overtime FLSA
• Corrective Action Notification

Workers’ Compensation Insurance Forms

• How to Report a Claim Instructions / Poster
• Designated Provider List - Utah
• Designated Provider List - Idaho
• Designated Provider Instructions - Other States
• Supervisor's Incident Report of Work-related Injury or Illness

Allowing you to get back to business!