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Documents, Forms, Tools, and Brochures

Employee Information Form	Helper Forms with Instructions
Instructions for Employee Form	Sample Employee Forms

Consumer/Employer Data Form	Sample Consumer/Employer Forms
Instructions for Consumer Form

Welcome Package
	Download complete Consumer/Employer Welcome Package
	Welcome Package Instructions

	Individual Consumer/Employer Welcome Package Documents
	Consumer/Employer Checklist
	Consumer/Employer-Representative Consent
	Consumer/Employer-Representative Agreement
	Consumer/Employer and MRDD Contract
	Mo. Employer Background Screening Request Form
	IRS Form 2678: Employer/Payer Appointment of Agent (pre-filled)
	IRS Form 8821: Tax Information Authorization (pre-filled)
	IRS Form 8655: Reporting Agent Authorization (pre-filled)
	IRS Form SS-4: Application for Employer Identification Number (If no SSN)
	IRS Form 2848: Power of Attorney/Declaration of Representative
	MO. Form 2643 & 2827: Tax Registration Application & Power of Attorney

New Hire Package
	Download complete New Hire Package
	New Hire Package Instructions

	Individual New Hire Package Documents
	New Hire Checklist
	Employee Information Record
	Employee Acknowledgment Receipt Document
	Consumer and Employee Contract
	MRDD and Employee Contract
	Form I-9: Employment Eligibility Verification
	Authorization for Automatic Electronic Payment
	Payroll Consent Form for eTime Sheet
	State of Missouri Worker Registration
	IRS Form W-4: Employee Withholding Allowance Certificate
	MO W-4: Missouri Employee's Withholding Allowance Certificate
	MO W-4A: Certificate of Non-Residence Allocation of Withholding Tax
	Authorization to Withhold City Payroll taxes (St. Louis and Kansas City Only)

Administrative Forms & Tools	Brochures
Bi-Weekly Activity Logs	About Self-Directed Services
Activity Log Instructions	ASI Fiscal Agent Services
Payroll Schedule
ASI eTimesheet Instructions

Benefits/Insurance Package
Basic MedPlan Employee Brochure	Benefits Enrollment Memo
Dental/DHMO Charge Schedule	Benefits Handbook
PPO Summary Sheet	Benefits Enrollment Form
Dental/Vision Enrollment Form