Employee Forms

IRS W4 2013 – Federal withholding tax form

NC-4 2013 – State withholding tax form

Direct Deposit Form– Change banking info for payroll direct deposit

FMLA Poster– Employee rights and responsibilities

FMLA healthcare cert – Medical leave of absence verification for doctor

FMLA return to work – Verifying return to work after leave of absence

ADA Request -Request for reasonable accommodation

FMLA request -Request for leave of absence

HART Notice of Changes Form -Retirement notice of change for voluntary contribution, name change, leave of absence, etc.

HART-Change of Address Form – Retirement change of address form.

HART-Change of Beneficiary Form – Retirement change of beneficiary form.

HART-Request for Benefit Payment Package – Retirement form filled out at end of employment.

Personnel Data Sheet – Fill out if personal info needs to be updated

Employee Status Change – Fill out if position changes

HACA Employee Benefit Summary – Handout listing all benefits: health, dental, STD, LTD, & life insurance, retirement, etc.