Employer Agent Forms

Timesheets & Payroll Schedule

Payroll Schedule form

Payroll Schedule

Biweekly Timesheet – Fillable form

Biweekly Timesheet – Fillable

Timesheet Sample

Timesheet Sample

Bi-weekly Timesheet Printable form

Bi-weekly Timesheet Printable

Timesheet Instructions

Timesheet Instructions

Travel Reimbursement Form

Travel Reimbursement Form

New Employee Packet

Care WI form

Care WI

Employee Packet - CLTS

Employee Packet - CLTS

iCare form

iCare

Employee Packet - CLTS Sauk

Employee Packet - CLTS Sauk

My Choice form

My Choice

New Employer Packets

Care WI form

Care WI

My Choice form

My Choice

Children/CLTS form

Children/CLTS

iCare form

iCare

Other Employer Forms

Employer/Member Training Resource

Employer/Member Training Resource

Workers' Comp Insurance Info

Workers' Comp Insurance Info

Other Employee Forms

I-9 Form

I-9 Form

CLTS - Employee Packet in Sauk County

CLTS - Employee Packet in Sauk County

Training Verification Form - CLTS

Training Verification Form - CLTS

W-4 form

W-4

I-9 Instructions

I-9 Instructions

Medicaid Provider Agreement for CLTS

Medicaid Provider Agreement for CLTS

Training Verification Form – Managed Care Organizations

Training Verification Form – Managed Care Organizations

CLTS - Employee Packet Dane County

CLTS - Employee Packet Dane County

Medicaid Provider Agreement

Medicaid Provider Agreement

Travel Reimbursement Form

Travel Reimbursement Form

New Match Employee Packet

Employee New Match Packet - CLTS

Employee New Match Packet - CLTS

Employee New Match Packet - iCare

Employee New Match Packet - iCare

Employee New Match Packet - CLTS Sauk

Employee New Match Packet - CLTS Sauk

Employee New Match Packet - My Choice

Employee New Match Packet - My Choice

Employee New Match Packet - CARE WI

Employee New Match Packet - CARE WI

New Vendor Forms

Vendor packet

Vendor Packet

W-9 form

W-9

Vendor Check Request

Vendor Check Request

Direct Deposit Authorization

Direct Deposit Authorization

Direct Deposit

Direct Deposit Authorization form

Direct Deposit Authorization

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

Intake/Referral Form

Intake/Referral Form

Companionship and Live-In Worker Exemptions

Companionship and Live-In Worker Exemptions

Home Care Rule Overview & Flowcharts

Home Care Rule Overview & Flowcharts

Live-in Tax Exemption Notice

Live-in Tax Exemption Notice

Get in Touch

We welcome your communication!  If you would like more information about our programs or services, please don’t hesitate to contact us.

Contact Us

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Case Manager of a man with Employer Agent Services

FAQs

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