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Click here for quick access to:
New Employee Forms
Health & Life Benefits Forms (Dental, Medical, Prescriptions, FSA/HRA, Life Insurance)
Employee Clubs
Miscellaneous Employee Forms
NEW EMPLOYEE FORMS
 Alternate Dispute Resolution Agreement
Dear Client Enrollment Letter
Dear New Employee Enrollment Letter
Dear New Employee Enrollment Letter (Spanish)
New Hire Packet
New Employee Record Sheet
New Employee Record Sheet (Spanish)
2008 W-4
2007 W-4 (Spanish)
I-9
Direct Deposit Authorization
Direct Deposit Authorization (Spanish)
HEALTH & LIFE BENEFITS FORMS
Dental
Dental Claim Form
Accident Claim Form
Accident Claim Form
Medical Claim Forms
Employers Resource Deluxe/Preferred/Consumer Direct Plans
Aetna SRC
Humana
Prescription Drug Claim Forms
Employers Resource Deluxe/Preferred/Consumer Direct Plans
Aetna SRC
Humana
FSA/HRA
Reimbursement Request Form
Medical Necessity Form
Life Insurance
Beneficiary Designation Form
Additional Life Enrollment Instructions
FORM A: Additional Life Insurance Enrollment Form
FORM B: Additional Life Insurance Medical History Statement
(Complete and fax to Employers Resource, 888-201-6365)
EMPLOYEE CLUBS
Christmas Savings Club
Christmas Savings Club
Christmas Savings Club (Spanish)
Payroll Authorization Form
Payroll Authorization Form (Spanish)
Withdrawl Form
Vacation Savings Club
Vacation Savings Club Sign-up
Vacation Savings Club Sign-up (Spanish)
Vacation Savings Club Withdrawal
MISCELLANEOUS EMPLOYEE FORMS
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