Forms

Forms

Application for Employer ID Number
SS-4

Benefit Enrollment Package
EASI Benefits

Delta Dental
Dental Enrollment Form

Direct Deposit Form (English)(Español)
Banking information for direct deposits

Employee Data Change Form
New employee information

Employer’s Tax Guide 2022
IRS Publication 15

EyeMed
Vision Enrollment Form

Federal Form I-9
Employment Eligibility Verification

Federal Form W-4
Federal Withholding Certificate

Flex Plan
Flexible Spending Account Enrollment Form

Florida Business Tax Application
Florida Department of Revenue Business Tax Application

Florida Business Registration Information
Registering Your Business

Georgia Withholding Certificate
Georgia Withholding Certificate

Mississippi Withholding Certificate
Mississippi Withholding Certificate

Mississippi Income Tax Instructions for Employers
Withholding Income Tax Tables and Employer Instructions

New Employee Data Form
New employee information

New Health Insurance Marketplace Coverage Options – With Health Insurance
New Health Insurance Marketplace Coverage Options and Your Health Coverage

New Health Insurance Marketplace Coverage Options – Without Health Insurance
New Health Insurance Marketplace Coverage Options and Your Health Coverage

New Jersey Withholding Certificate
New Jersey Withholding Certificate

North Carolina Withholding Certificate
North Carolina Withholding Certificate

Supplemental Insurance
Alflac/Colonial Life Enrollment Forms