Payroll Model/FEA New Hire Forms

Required for PICS Records

Contact Information Form (PDF) 
Individual Support Worker Enrollment Application (PDF) 
Provider Agreement (PDF) 
Background Study Authorization (PDF) 
Federal I-9 Form (PDF) 
Federal W-4 Form (PDF) 
State W-4 Form (PDF) 
Employment Agreement (PDF) 
Payment Options Form (PDF) 
Voluntary Self-Identification Form (PDF) 
Personnel File Notification (PDF) 
Workers Compensation Agreement (PDF) 
False Claims Act Notice (PDF)

Required for Representative's Records

Employment Application (PDF) 
Job Description (PDF) 
False Claims Act Policy (PDF) 
Federal I-9 Sample - FEA (PDF) 
Federal I-9 Instructions (PDF)