Checklist for New Employee Paperwork New Employee Name ______________________________ Fingerprinting Form Unprofessional Conduct Form Federal Form W-4 Michigan Form W-4 ORS Beneficiary Form I-9 Form Insurance enrollment form (if applicable) ORS Guidelines Book Contract distributed and _______________ date returned Copy of Master Agreement (if applicable) Pay Selection (22 or 26) (if applicable) Plan Document 403b Make Personnel and Payroll Files, Rolodex Card and add to Staff Directory Submit Information to COBRA Compliance Sent Insurance enrollment form _____________ date sent Received Unprofessional Conduct Form back from previous employer Date received: ______________ Received Fingerprinting information back from MSP __________
Checklist for New Employee Paperwork New Employee Name ______________________________ Fingerprinting Form Unprofessional Conduct Form Federal Form W-4 Michigan Form W-4 ORS Beneficiary Form I-9 Form Insurance enrollment form (if applicable) ORS Guidelines Book Contract distributed and _______________ date returned Copy of Master Agreement (if applicable) Pay Selection (22 or 26) (if applicable) Plan Document 403b Make Personnel and Payroll Files, Rolodex Card and add to Staff Directory Submit Information to COBRA Compliance Sent Insurance enrollment form _____________ date sent Received Unprofessional Conduct Form back from previous employer Date received: ______________ Received Fingerprinting information back from MSP __________