Client Center

Up-to-Date Resources and Forms

New Hire Enrollment Packets

New Hire Enrollment Packets may be accessed by selecting the applicable state. Please forward completed packets to your Payroll Tech upon hiring.

Click on a state to view its enrollment packet

Lincoln Enrollment and Beneficiary Form

N/A

Lincoln Deferral Change Form

N/A

Claims Administration

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

Workers’ Compensation Claim Protocols

Claims Reporting Procedures Flowchart

Loss Control And Safety

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

Employee Separation Form

Employee Data Change Form

Payroll Advance Deduction Authorization

Lost Payroll Check Affidavit

Direct Deposit Reversal Affidavit Form

Direct Deposit Cancellation Form

Direct Deposit

New Hire Data Input Form

Workers’ Compensation

New Class Code Location Request

Non-Temporary Staffing

Certificate Request Form

Alabama PEO Notice

N/A

Workers’ Compensation Poster

Warehousing*

Light Industrial*

Farming

Construction*

* Full-color printed posters are available upon request.