Employee Benefits Templates

This form is used for elected officials in Alaska to participate or waive participation in the Pers Defined Benefit Retirement Plan.

This document outlines the standard wage rates for certain service workers in the state of Connecticut. It provides guidelines for employers and employees regarding minimum wages and wage rates for specific occupations.

This form is used for authorizing direct deposit of payments in the state of California.

This form is used for reporting earned paid sick time in Arizona.

This form is used for enrolling in health benefits in the state of Delaware.

This form is used for requesting payment for unused vacation or sick leave in the state of Florida.

This document explains the non-eligibility criteria for FMLA regarding hours worked and health conditions in the state of Florida.

This Form is used for authorizing payroll deductions for post-tax benefits only in Florida.

This document outlines the health benefits available to operations employees in Florida. It provides information about the different insurance plans, coverage options, and other wellness programs provided by the employer.

This form is used for requesting disbursement of retiree benefits from the California Employers' Retiree Benefit Trust.

This form is used by retirees in California to make an election regarding their Cobra coverage.

This document is used for certifying the health care provider for an employee under the Family and Medical Leave Act (FMLA) in the state of Nevada.

This form is used for requesting a leave of absence under the Family and Medical Leave Act (FMLA) in the state of Nevada.

This document is used for reimbursement type plans in Hawaii.

This Form is used for reporting employment health coverage information in the state of Idaho. It is a required form for employers to provide information about the health coverage options they offer to their employees.

This form is used for filing a WARN Act Complaint in Illinois. The WARN Act requires certain employers to provide advance notice of plant closings and mass layoffs.

This form is used for filing a complaint regarding prevailing wage violations in Minnesota. It allows individuals to report any issues or concerns related to wage violations in order to seek resolution and enforcement.

This Form is used for authorizing direct deposit of funds in Montana Veba account in Montana.

This Form is used for making a coverage election for Limited Scope Veba HRA in Montana.

This form is used for workers in Nevada who need to indicate their choice of leave for workers' compensation purposes.

This form is used by employers in Hawaii to request premium supplementation for their employees.

This form is used for the agreement to compensation between the dependents of a deceased employee and the employer in the state of Indiana.

This form is used for reporting the termination of temporary total disability (TTD) or temporary partial disability (TPD) in the state of Indiana.

This document, Form CFN552-0730, is used in Iowa to notify individuals about their eligibility and rights & responsibilities in a particular matter. It provides important information that individuals need to know and understand.

This form is used for employees in Maryland to request leave donations from other employees.

This document is used for recording administrative leave for active military duty in Maryland. It helps to keep track of the leave taken by military personnel serving in Maryland.

This document is a notice to employees in Massachusetts that is written in Portuguese. It provides important information and updates that employees need to be aware of.

This form is used for donating leave to an employee who is suffering from a catastrophic illness or injury in the state of Mississippi.

This document is a checklist for group applications in the state of Missouri. It is used to ensure all necessary documents and information are included in the application.

This Form is used for reporting fringe benefit itemized contributions and deductions in Nevada.