Employee Forms 2017-10-05T00:29:24+00:00

General Human Resources

2017 New Hire Packet – AZ English

Download Form

2017 New Hire Packet – AZ Spanish

Download Form

Payroll

A4

Download Form

W4

Download Form

Direct Deposit Request

Download Form

Employee Benefits: Dental

Plan Details

Download Form

Enrollment Form

Download Form

Vision

Plan Details

Download Form

Enrollment Form

Download Form

401 K

Enrollment Packet

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Flexible Spending
(Med & Dependent Care)

Enrollment Form

Download Form

Plan Summary

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Legal

Legal Shield

Download Form

STD

STD Form and Plan Summary

Download Form

LTD

Enrollment Form and Plan Summary

Download Form

Holiday/Vacation Club

Deduction Authorization Form

Download Form

Contact Us

Please fill out the form below or call to speak with someone immediately: 888-700-8512

Contact Information

  • Phone: (602) 200-8500

    Toll-Free: (888) 700-8512

  • Fax: (602) 650-1984
  • Headquarters Address
    1500 E Bethany Home Rd
    Suite 200
    Phoenix, AZ 85014
  • Business Hours
    Monday-Friday
    8am-5pm