Administrative Pack Forms - Folder Set Up Revised: February 24, 2011
Orange Files - For PBS Workers' Compensation Participants ONLY
OSHA Recordkeeping Is this injury OSHA recordable? Recordkeeping and Recording of Occupational Injuries and Illnesses OSHA Forms 300, 300A, and 301 Certificate of Insurance Certificate of Insurance Request Fax My Employee was Injured Injury Reporting Packet (Do not print double-sided.) Pharmacy Sheet SRS Connect
Blue Files
Disciplinary Action Record of Verbal Warning Written Warning Exit Interview Forms Exit Interview Form FMLA/Employee & Employer Packet PBS Family/Medical Leave Act Employer Instructions and Forms Handbook Addendum Worksheet Handbook Addendum Development Worksheet Job Description Questionnaire Custom Job Description Questionnaire Letter of Resignation Letter of Resignation (LOR) Performance Evaluation Exempt Performance Evaluation - Exempt Employees Performance Evaluation Non-Exempt Performance Evaluation - Non-Exempt Employees Reimbursement Claim Forms FSA Reimbursement Form FSA Monthly Dependent Care Claim
Green Files
Direct Deposit Authorization Form Paychex HR Solutions - PEO Direct Deposit Signup/Change Form Fax Payroll Cover Sheet Fax Payroll Coversheet & Voucher/Manual Check Form Fax Payroll Instructions and Cover Sheet Fax Payroll Instructions and Cover Sheet Voucher/Manual Check instructions Sheet Voucher/Manual Check Form New Employee Set Up New Orientation Checklist NEP Management Instructions New Employee Packet Payroll Deduction Form Payroll Deduction Form Pre-employment Forms Application for Employment Interview Evaluation Employment Reference Checklist W-4 Form W-4 (2011) Worksite Employee Change Form Employee Change/Termination Form
Yellow Files
Miscellaneous Credit Union Document (An optional document that may be provided at local branches. This form is not in the master PDF file,) Important Contact Numbers 2011