Skip to main content

HR Forms

HR Help

HR Help Form - Create Case

Use this form submit an HR Case and request information or get HR help

Need Immediate assistance? Call 502-495-6900 option 2


Team Member Referral Notice

Submit a request for credit for referral of a new hire.

Please note this is NOT a guarantee of the person hired, and the company's standard hiring procedures will be followed for all applicants. 

Team Member Handbook

Download Team Member Handbook (Rev 7.10.23)

Download TM Handbook Signature Page (Rev 7.10.23)

New Hire, Payroll, & Tax Forms

Direct Deposit & HSA Update Form

Vivid Impact Direct Deposit Form fillable 02.23.pdf


Drug Screen Authorization Form for New Hires

Fastest Labs_DrugScreenAuthorizationForm 2023.pdf


BaptistWorx DOT Medical Card Authorization Form


Tax Forms

Federal Tax Withholding: fw4 2023.pdf


State Tax Withholding Forms:

Indiana: IN WH-4 (9-22) Fillable.pdf

Kentucky: K-4.pdf

Florida: No Form Required

Georgia: G-4.pdf

Ohio: OH IT-4.pdf

Benevolent Fund

Team Member Benevolent Fund Grant Application.pdf

Benevolent Fund Authorization & Waiver Form 2023.pdf (Enrollment Form)

Family & Medical Leave Act HR Help Form - Create Case Please note that you are requesting FMLA and HR will get the appropriate documentation to you. 


Community Outreach Request Have an event or program you would like Vivid Impact to sponsor or partner with? Would like to make a request for in-kind work to be produced?
Complete the Community Outreach/Donation/Sponsorship Request Here

Non-Employee

Building Access Request

Non-Employee Building Access Request (smartsheet.com)

Only Team Members and Authorized Visitors may be issues a key fob/card. To request access for a vendor, partner, or service provider, please complete this form. Please provide at least 2 business days notice prior to when the credential is required. 



hr forms

human resource forms