Please complete in black ink and bring to your Onboarding Appointment. Notarization is no longer required, but copies will not be accepted. Please note that you do not pay the $10 fee - we cover that cost.
Employees who lived in other states during the past five years will have additional forms to complete during their onboarding appointment.
Please complete and bring to your Onboarding Appointment. Do not sign or mail the form. The form will be notarized at onboarding. No fee is required.