Employer Agent Forms

Timesheets & Payroll Schedule

2022 Timesheet Printable_thumb

Biweekly Timesheet – Fillable

2022 Timesheet Sample with Instructions_thumb

Timesheet Sample with Instructions

2022 Payroll Schedule_thumb

2023 Payroll Schedule

Travel Reimbursement Form_thumb

Travel Reimbursement Form

New Employee Packet

Use Paperworkr for Your New Hire Packet

Paperworkr lets you auto-fill the information needed onto a PDF. Print and sign each form with ease in less than 10 minutes!

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Employee Packet Managed Care: Adults (iCare)

Employee Packet - Managed Care/Adults (iCare)

https://faforms.s3.ca-central-1.amazonaws.com/wp-content/uploads/2022/07/07134112/2022-EE-App.-MCO-for-website-only-compressed.pdf

Employee Packet - CLTS/Children

Employee Packet Managed Care/Adults (My Choice WI)

Employee Packet - Managed Care/Adults (My Choice)

https://faforms.s3.ca-central-1.amazonaws.com/wp-content/uploads/2022/07/07134112/2022-EE-App.-MCO-for-website-only-compressed.pdf

Employee Packet - CLTS Sauk

Other Employee Forms

W-4 and WT-4 forms 2023

W-4 and WT-4 Forms

Medicaid Provider Agreement for CLTS

Medicaid Provider Agreement for CLTS

Training Verification Form – Managed Care Organizations

Training Verification Form – Managed Care Organizations

I-9 Form

I-9 Form

Medicaid Provider Agreement

Medicaid Provider Agreement - Managed Care Organization

Training Verification Form - CLTS

Training Verification Form - CLTS

7a - I 9 Sample 2022

I-9 Instructions

Travel Reimbursement Form_thumb

Travel Reimbursement Form

New Employer Packets

2022-ER-App-Enrollment

Employer Packet - CLTS/Children

2022-ER-App.

Employer Packet - Managed Care/Adults

Other Employer Forms

Employer/Member Training Resource

Employer/Member Training Resource

Workers' Comp Insurance Info

Workers' Comp Insurance Info

New Vendor Forms

2023 Vendor Payment Schedule

2023 Vendor Payment Schedule

Vendor check request form

Vendor Check Request

2022 Vendor App with CBC

Vendor Packet

2021 Vendor Check Request Form

Vendor Check Request Form (fillable)

W-9 form

W-9

Direct Deposit

WEXrapid! PayCard Fee Schedule

WEXrapid! PayCard Fee Schedule

WEXrapid! PayCard PDF

WEXrapid! PayCard

Surcharge Free ATM Locations PDF

Surcharge Free ATM Locations

Case Managers &
Care Managers

CLTS CURRENT INTAKE FORM Thumb

CLTS Intake/Referral Form

Live-in Tax Exemption Notice

Live-in Tax Exemption Notice

MCO FA Intake-Referral Form 2020

MCO Intake/Referral Form

Companionship and Live-In Worker Exemptions

Companionship and Live-In Worker Exemptions

Intake/Referral Form

Vendor Intake/Referral Form

Home Care Rule Overview & Flowcharts

Home Care Rule Overview & Flowcharts

Forms in Spanish (Formularios en español)

Calendario de nominas del agente empleador - 2023

Payroll Schedule/Calendario de nominas del agente empleador - 2023

W4 (2022) Spanish

W-4

Employee Packet for CLTS/Información para nuevos empleados - CLTS

Employee Packet for CLTS/Información para nuevos empleados - CLTS

Live-in Tax Exemption Notice

I-9

Employer Packet Nuevo Empleador

Employer Packet /Nuevo Empleador

Home Care Rule Overview & Flowcharts

WEXrapid! Paycard/ Tarjeta de Nómina rapid!

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