forms

Below are forms available to Payroll Systems customers. Adobe Acrobat Reader is required to view these files. Download and install Adobe Acrobat Reader.
 

Payroll Service Forms

  Secure Forms
  Employee Authorization Agreement for Payroll Direct Deposit
  2013 Payroll Systems Holidays
  2013 Wage and Tax Facts
  2012 Wage and Tax Facts
     

FSA/HRA Service Forms

  SBC Glossary of Health and Medical Terms
  FSA Dependent Care Eligible Expenses
  FSA Medical Eligible Expenses
  HRA Summary of Benefit Coverage 100+ Employee
  HRA Summary of Benefit Coverage 0-99 Employees
  Claim Form
  Direct Deposit Authorization
  Status Change Form
  New Participant Login Instructions
  Separation Notice for HRA Participants
     

IRS Forms

  8655 Reporting Agent Authorization Form
  W-4 Employee’s Withholding Allowance
  W-4 Employee’s Withholding Allowance (Spanish)
  SS-4 Application for Federal Employer ID Number
  Circ E  Employers Guide
 
W-11
HIRE Act Employee Affidavit
   

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California Employment Development Dept (EDD) Forms

  DE-1 Application for a California Employer ID Number
  DE-24 Change of Employer Account Information
  DE-38 Employment Determination Guide — Employee or Contractor
  DE-44 Employers Guide
  DE-88 Tax Deposit Coupon
  DE-4 CA Employee’s Withholding Allowance
  DE-2320 Programs for the Unemployed
  DE-2511 Paid Family Leave
  DE-2515 State Disability Insurance
     

US Citizenship and Immigration

  I-9 Employment Eligibility Verification
 

San Francisco

  Health Care Security Ordinance – Commonly Asked Questions
  HCSO Official 2012 Notice
  Paid Sick Leave, Full Text
  Paid Sick Leave, Poster
  Paid Sick Leave, Fact Sheet
  Separation Notice for HRA Participants

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