Client Access Forms

• Complete New Hire Packet
• Federal W-4 Form , 2 pages. Employee's Withholding Allowance Certificate
• Federal W-5 Form, 3 pages, Earned Income Credit Advance Payment Certificate
• State of Ohio IT-4 Form , Employee's Withholding Exemption Certificate
• Ohio School District Codes & Rate 2007
• State of Indiana Residents County Tax Codes  and Rates for 2005 - 2007
• Indiana WH-4 2007
• State of Kentucky K-4 Form , Employee's Withholding Exemption Certificate
• Federal Employment Eligibility Verification
• Change of Status Form
• Termination Form
• HumaCare Payroll Deduction
• Client Authorization to Humacare for Ohio Workers Compensation Information
• Employee Authorization for Miscellaneous Payroll Deductions
• Employee Authorization for Payroll Direct Deposit
• Accident Reporting Procedure
• HumaCare Client Incident Investigation Report
• HumaCare Employee Incident Report
• HumaCare Guest Incident Report
• HumaCare Medical Release
• HumaCare Witness Statement
• Employee Time Off Request Form