Client Center

Up-to-Date Resources and Forms

Client Resource Center

Client forms, including new hire enrollment packets, are available by clicking the appropriate state on the below map. Forward necessary forms to your Payroll Specialist upon completion.

Click a state to view applicable client forms

Benefits

English

Spanish

Lincoln Enrollment and Beneficiary Form

N/A

Lincoln Deferral Change Form

N/A

Claims Administration

English

Spanish

Employee Refusal of Medical Treatment

Consent for Release of Medical Information

Claims Reporting Procedures Packet

CA State Claim Form (DWC-1)

Employer Accident Investigation Report

Employee Report of Injury

Claims Procedures

English

Spanish

Workers’ Compensation Claim Protocols

Claims Reporting Procedures Flowchart

Loss Control And Safety

English

Spanish

Client Work Site Safety Evaluation

N/A

Safety Suggestion Form

Safety Meeting Sign Off Sheet

Progressive Discipline Program Form

Post Accident Safety Sign Off Sheet

New Hire Safety Orientation Checklist

Payroll Administration

English

Spanish

Employee Separation Form

Employee Data Change Form

Payroll Advance Deduction Authorization

N/A

Lost Payroll Check Affidavit

Direct Deposit Reversal Affidavit Form

Direct Deposit Cancellation Form

Generic Forms

English

Spanish

Direct Deposit

Workers’ Compensation

English

Spanish

New Class Code Location Request

Non-Temporary Staffing

Certificate Request Form

Alabama PEO Notice

N/A

Workers’ Compensation Poster

English

Spanish

Client Center

Client Resource Center

Click a state to view applicable client forms

Lincoln Enrollment and Beneficiary Form

N/A

Lincoln Deferral Change Form

N/A

Employee Refusal of Medical Treatment

Consent for Release of Medical Information

Claims Reporting Procedures Packet

CA State Claim Form (DWC-1)

Employer Accident Investigation Report

Employee Report of Injury

Workers’ Compensation Claim Protocols

Claims Reporting Procedures Flowchart

Client Work Site Safety Evaluation

N/A

Safety Suggestion Form

Safety Meeting Sign Off Sheet

Progressive Discipline Program Form

Post Accident Safety Sign Off Sheet

New Hire Safety Orientation Checklist

Employee Separation Form

Employee Data Change Form

Payroll Advance Deduction Authorization

N/A

Lost Payroll Check Affidavit

Direct Deposit Reversal Affidavit Form

Direct Deposit Cancellation Form

Direct Deposit

New Class Code Location Request

Non-Temporary Staffing

Certificate Request Form

Alabama PEO Notice

N/A

Warehousing*

Light Industrial*

Farming

Construction*

* Full-color printed posters are available upon request.

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