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If you would like to see a commly used form added to the list, please contact Matt Richards.  We appreciate any suggestions you may have to enhance our service to all our clients and employees.The following forms are for AdvanStaff HR employee use only. If you need access to a form not listed below, please contact AdvanStaff HR at 702-598-0000 or by submiting a support ticket.

Benefit Forms

icon Section 125 Claim Form – Form Fillable (65 kB 2009-08-06)

icon Vacation – Leave – PTO Request Form (56.72 kB 2009-08-06)

 

icon Dental Enrollment Form (150.75 kB 2009-08-05)

icon MetLife Enrollment Form – Life (372.6 kB 2009-08-06)

icon MET LIfe Evidence of Insurability (276.65 kB 2009-08-07)

icon HPN Change Form (71.51 kB 2009-08-05)

icon HPN Enrollment Form (1.4 MB 2009-08-05)

icon HPN Member Authorization for Information Form (14.51 kB 2009-08-06)

Benefit Plan Descriptions

Benefit plans offered by your employer and AdvanStaff HR vary from group to group. Please contact the AdvanStaff HR Benefits Department for specific plan details offered by your employer.

Payroll Forms

icon Employee Direct Deposit Form (27.42 kB 2009-07-16)

icon W-4 Form 2009 – Form Fillable (611.37 kB 2009-08-06 16:13:32)

 

Workers Compensation Forms

icon C1 – Injury / Illness Report (119.38 kB 2009-07-16)

For a list of Concentra Medical Treatment Facilities click: LIST VIEW or MAP VIEW

 

If you would like to see a commly used form added to this list, please contact Matt Richards.  We appreciate any suggestions you may have to enhance our service to all our clients and employees.