Employee Benefits Templates

This form is used for authorizing direct deposit of funds in the state of Louisiana.

This form is used for requesting reimbursement of tuition fees in the state of Maine. It allows individuals to seek financial assistance for their education expenses.

This Form is used for disclosing fringe benefits in the state of Missouri. It provides information about the benefits employees receive from their employers, including health insurance, retirement plans, and other perks.

This form is used for notifying the state of Maine about an attempted recall or job refusal.

This Form is used for discontinuing the authorization for payroll deduction for insurance or other employee benefits in Massachusetts.

This Form is used for enrolling, changing or terminating employee group life insurance in Kentucky and also designating a beneficiary.

This form is used for requesting emergency paid sick leave (EPSL) in the state of Mississippi. It allows employees to request and document their need for paid time off due to a qualifying reason related to COVID-19.

This Form is used for employees in Virginia to request a pre-tax salary reduction agreement.

This Form is used for small businesses in California to apply for coverage through Covered California for Small Business.

This type of document is a New Hire Checklist specifically for the state of Montana. It outlines the necessary steps and tasks to be completed when hiring a new employee in Montana.

This form is used for donating maternity leave in Nebraska.

This form is used for enrolling or making changes to direct deposit for North Carolina residents. It allows individuals to receive their income or benefits directly deposited into their bank account.

This document provides a detailed breakdown of personal service expenditures, including fringe benefits, specifically for individuals residing in New York.

This form is used for making changes to payroll elections in New Mexico through Pera Smartsave.

This Form is used for making investment elections for defined contribution plans in Nebraska.

This Form is used for electing direct deposit for receiving payments in the state of Montana.

This document is used for requesting compensation in labor relations in the state of Delaware.

This document outlines the self-insured employer's plan for managed care in South Dakota. It provides information on how employers can provide healthcare coverage to their employees through a managed care system.

This Form is used for deferring sick and vacation time for employees participating in the 457b retirement plan in Delaware.

This form is used for authorizing or canceling direct deposit of payment in the state of Rhode Island.

This form is used for employees in South Carolina to request a leave of absence without pay.

This form is used for notifying the state of Texas about the election to self-insure for workers' compensation.

This document is a notice regarding a qualifying event for COBRA in South Carolina. COBRA refers to the Consolidated Omnibus Budget Reconciliation Act, which provides temporary continuation of group health coverage in certain situations. The notice informs individuals of a qualifying event that may entitle them to COBRA coverage.

This document is a notice informing individuals in South Carolina about an extension of their COBRA continuation coverage. COBRA allows people to maintain their health insurance coverage after certain qualifying events, such as job loss or reduction in work hours.

This document ensures that employees in South Carolina understand and agree to keep sensitive information confidential. It is used to protect the company's trade secrets and other proprietary information.

This Form is used for Texas employees to make an election regarding the utilization of sick and annual leave.

This Form is used for deferring sick and vacation time for 403b retirement plans in the state of Delaware.

This form is used for requesting direct deposit in the state of Alabama.

This form is used for certifying eligibility and election for the Reduced Workload Program in California.

This form is used for the State of Maryland Telework Policy (Post-pandemic) Telework Agreement. It outlines the guidelines and agreement for teleworking in the state of Maryland.