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.

Benefits										English		Spanish
Lincoln Deferral Change Form												N/A
Lincoln Enrollment and Beneficiary Form												N/A

Claims Administration										English		Spanish
Employee Accident Investigation Report
Employer Accident Investigation Report
Employee Report of Injury
Employee Report of Injury
CA State Claim Form (DWC-1)
Claims Reporting Procedures Packet
Consent for Release of Medical Information
Employee Refusal of Medical Treatment

Claims Procedures										English		Spanish
Claims Reporting Procedures Flowchart
Claims Reporting Procedures
Workers’ Compensation Claim Protocols

Loss Control And Safety										English		Spanish
New Hire Safety Orientation Checklist
Post Accident Safety Sign Off Sheet
Progressive Discipline Program Form
Safety Meeting Sign Off Sheet
Safety Suggestion Form
Client Work Site Safety Evaluation												N/A

Workers’ Compensation										English		Spanish
Alabama PEO Notice												N/A

Payroll Administration										English		Spanish
Direct Deposit Cancellation Form
Direct Deposit Reversal Affidavit Form
Lost Payroll Check Affidavit
Payroll Advance Deduction Authorization
Employee Data Change Form
Employee Separation Form

Generic Forms										English		Spanish
New Hire Data Input Form
Direct Deposit

Workers’ Compensation										English		Spanish
Certificate Request Form
New Class Code Location Request Non-Temporary Staffing

Workers’ Compensation Poster										English		Spanish
Construction*
Farming
Light Industrial*
Warehousing*

* Full-color printed posters are available upon request.