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HR Forms

HR Help

HR Help Form - Create Case

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

 

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 standard hiring procedures will be followed for all applicants. 

New Hire, Payroll, & Tax Forms

Direct Deposit 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

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

Kentucky State Tax Withholding - K-4: K-4.pdf


Ben Fund

Team Member Benevolent Fund Grant Application.pdf

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

Family & Medical Leave Act