www.hms-enterprises.com HMS ENTERPRISES.COM


Federal Form W-4 New Employee Data Employee Eligibility Verification (form I-9) Missouri form W-4 (MO W-4) Advance Life Insurance Enrollment Page (AICK 4) Kansas Form K-4 (K-4) Information for our payroll records Federal witholding allowance form New Employee Packet Forms All New HMS Employees must fully complete the below forms and turn into payroll before payroll checks will be issued. Fax & Mail to Susan Buckle at Brazilton HQ  (620) 395-2181 Documentation on eligible worker. (Will download in .pdf format) State of Missouri witholding allowance form State of Kansas witholding allowance form IPMG Group Health Insurance Enrollment Form HMS provides at no cost to every HMS employee a $10,000 life insurance plan.  To be eligible You must fill out this form HMS makes a Group Health insurance plan available to all employee’s on a 50% cost share of the premium.  You must complete this enrollment form to be eligible. New Health Insurance Marketplace Coverage Options and Your Health Coverage This is just the form, Call Susan @ 620 395-2151 to fill out Part A and Part B form ACA Health care New Employee Checklist Checklist of Items to  be completed by New Employee and Store Manager Retirement Plan Enrollment/Change Investment Election Form A form to acknowledge you have received information and the form for our retirement plan 401 K Signature Page A form to acknowledge you have received information and the form for our retirement plan Group Health Insurance Waiver If you choose not to take the group health insurance plan, you must fill out this waiver and return it with your new employee forms. New Employee Packet all in one .PDF File Click on the above link for a large .pdf file of all forms to be completed by a new employee. (Warning, the file is 22 pages, for individual forms, click below) Below are the New Employee Packet forms Individually