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Program Forms

Timesheet - Payroll Model (FEA)

Timesheet- Paid Time Off

Homemaker Timesheet

Credit Card Order Form

Cell Phone/Internet Reimbursement Form

Claim Form for Payments and Reimbursements

Expense Reimbursement Direct Deposit Form

Mileage Reimbursement

Employment Resources

Employee Packet - Payroll Model (FEA)

Employee Disclosures & Supplement- (FEA)

Wage Consent Form - Payroll Model (FEA)

Minnesota Labor Law Poster

Payroll Calendar

Status Change Form

W4 Form (Federal)

W4 Form (Minnesota)

Workers Compensation Information

Youth Labor Laws

Additional Resources

ADP Self-Service Login

Electronic Pay Statement Opt Out

Consent to Release Employment Information

Vendor Packet

Direct Deposit Instructions

Employee Performance Review

Employee Exiting Form

Health Insurance

Incident-Accident Report

Independent Contractor Billing Form

Job Posting Agreement

Mileage - Explanation

Paid Time-off Notice

Samples of Completed Forms

403b

Adeegyada La Hagayo ee Macaamiil

1961 Premier Drive, Suite 318

Mankato, MN 56001

MRCI Client Directed Service's Logo

Macluumaadkan waxaa lagu heli karaa qaabab kale oo shakhsiyaadka naafada ah ama luqado kale iyagoo naga soo wacaya deegaanka 507-386-5600 ama taleefanka lacag la'aanta ah 800-829-7110, dadka isticmaala TTY sidoo kale waxay naga soo wici karaan Minnesota Relay 711 ama (800) 627 -3529

Report perceived illegal or unethical activity to the Corporate Compliance line at 1(866)280-9928. 

245D Licensed Services, Financial Management Service (FMS), PCA Choice Agency, Minnesota DHS, Homemaker, CDCS, CSG, Individualized Home Supports, Host Home, Respite, Private Pay, Night Supervision, Veteran-Directed Care

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