2026 NEW EMPLOYEE FORMS

AUTHORIZATION FOR AUTOMATIC DEPOSIT
I hereby authorize the above named company and the below named financial institution to initiate payroll deposits to my:
Direct Deposit Account Type:

CheckingSavings
Financial Institution Name:
Routing Number:
Account Number:
USE THIS BOX TO DEPOSIT A PORTION OF YOUR CHECK TO A SEPARATE ACCOUNT.
Direct Deposit Account Type:

CheckingSavings
$
Financial Institution Name:
Routing Number:
Account Number:
This authority is to remain in full force and effect until you have received written notification from me of its termination.

W-4 Employee's Federal Withholding

Employee's Withholding Certificate Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay.
Step 1:Enter Personal Information
Does your name match the name on your social security card? If not, to ensure you get credit for your earnings, contact SSA at 800-772-1213 or go to www.ssa.gov.
Filing Status*

Single or Married filing separatelyMarried filing jointly or Qualifying surviving spouseHead of household (Check only if you're unmarried and pay more than half the costs of keeping up a home for yourself and a qualifying individual.)
Caution: To claim certain credits or deductions on your tax return, you (and/or your spouse if married filing jointly) are required to have a social security number valid for employment. See page 2 for more information.
TIP: Consider using the estimator at www.irs.gov/W4App to determine the most accurate withholding for the rest of the year if you: are completing this form after the beginning of the year; expect to work only part of the year; or have changes during the year in your marital status, number of jobs for you (and/or your spouse if married filing jointly), dependents, other income (not from jobs), deductions, or credits. Have your most recent pay stub(s) from this year available when using the estimator. At the beginning of next year, use the estimator again to recheck your withholding.
Complete Steps 2-4 ONLY if they apply to you; otherwise, skip to Step 5. See page 2 for more information on each step, who can claim exemption from withholding, and when to use the estimator at www.irs.gov/W4App.
Step 2:Multiple Jobsor SpouseWorks
Complete this step if you (1) hold more than one job at a time, or (2) are married filing jointly and your spouse also works. The correct amount of withholding depends on income earned from all of these jobs.
Do only one of the following.
(a) Use the estimator at www.irs.gov/W4App for the most accurate withholding for this step (and Steps 3-4). If you or your spouse have self-employment income, use this option; or
(b) Use the Multiple Jobs Worksheet on page 3 and enter the result in Step 4(c) below; or
(c) If there are only two jobs total, you may check this box. Do the same on Form W-4 for the other job. This option is generally more accurate than Step 2(b) if pay at the lower paying job is more than half of the pay at the higher paying job. Otherwise, Step 2(b) is more accurate
Complete Steps 3-4(b) on Form W-4 for only ONE of these jobs. Leave those steps blank for the other jobs. (Your withholding will be most accurate if you complete Steps 3-4(b) on the Form W-4 for the highest paying job.)
Step 3:Claim Dependent and OtherCredits
If your total income will be $200,000 or less ($400,000 or less if married filing jointly):
(a) Multiply the number of qualifying children under age 17 by $2,200.
(b) Multiply the number of other dependents by $500
Add the amounts from Steps 3(a) and 3(b), plus the amount for other credits. Enter the total here
Step 4:Other Adjustments
(a) Other income (not from jobs). If you want tax withheld for other income you expect this year that won't have withholding, enter the amount of other income here. This may include interest, dividends, and retirement income
(b) Deductions. Use the Deductions Worksheet on page 4 to determine the amount of deductions you may claim, which will reduce your withholding. (If you skip this line, your withholding will be based on the standard deduction.) Enter the result here
(c) Extra withholding. Enter any additional tax you want withheld each pay period.
Exempt Status

I claim exemption from withholding for 2026, and I certify that I meet both of the conditions for exemption for 2026. See Exemption from withholding on page 2. I understand I will need to submit a new Form W-4 for 2027
First date of employment

MonthDayYear
Date

Employment Eligibility Verification
START HERE: Employers must ensure the form Instructions are avallable to employees when completing this form. Employers are liable for falling to comply with the requirements for completing this form. See below and the Instructions.
ANTI-DISCRIMINATION NOTICE: All employees can choose which acceptable documentation to present for Form 1-9. Employers cannot ask employees for documentation to verify information in Section 1, or specify which acceptable documentation employees must present for Section 2 or Supplement B, Reverification and Rehire. Treating employees differently based on their citizenship, immigration status, or national origin may be illegal.
Section 1. Employee Information and Attestation: Employees must complete and sign Section 1 of Form I-9 no later than the first day of employment, but not before accepting a job offer.
Check one of the following boxes to attest to your citizenship or immigration status (See page 2 and 3 of the instructions.):

1. A citizen of the United States2. A noncitizen national of the United States (See Instructions.)3. A lawful permanent resident (Enter USCIS or A-Number.)4. A noncitizen (other than Item Numbers 2. and 3. above) authorized to work until (exp. date, if any)Other
I am aware that federal law provides for imprisonment and/or fines for false statements, or the use of false documents, In connection with the completion of this form. I attest, under penalty of perjury, that this Information, Including my selection of the box attesting to my citizenship or Immigration status, is true and correct.
USCIS A-Number
Form I-94 Admission Number
Foreign Passport Number and Country of Issuance
If a preparer and/or translator assisted you in completing Section 1, that person MUST complete the Preparer and/or Translator Certification on Page 3.
Section 2. Employer Review and Verification: Employers or their authorized representative must complete and sign Section 2 within three business days after the employee's first day of employment, and must physically examine, or examine consistent with an alternative procedure authorized by the Secretary of DHS, documentation from List A OR a combination of documentation from List B and List C. Enter any additional documentation in the Additional Information box; see Instructions.

	List A
Document Title 1
Issuing Authority
Document Number (if any)
Expiration Date (if any)
Document Title 2 (if any)
Issuing Authority
Document Number (if any)
Expiration Date (if any)
Document Title 3 (if any)
Issuing Authority
Document Number (if any)
Expiration Date (if any)

Employer Verification

	List B AND
Document Title
Issuing Authority
Document Number
Expiration Date

List C Document Title
Authorization
Check here if you used an alternative procedure authorized by DHS to examine documents.
Certification: I attest, under penalty of perjury, that (1) I have examined the documentation presented by the above-named employee, (2) the above-listed documentation appears to be genuine and to relate to the employee named, and (3) to the best of my knowledge, the employee is authorized to work in the United States.
Signature* Date*
Today's Date (mm/dd/yyyy)

MonthDayYear
Date
Should be Empty:

Part-time employees are eligible for Teladoc and PHI Helicopter membership.

AUTHORIZATION FOR AUTOMATIC DEPOSIT

USE THIS BOX TO DEPOSIT A PORTION OF YOUR CHECK TO A SEPARATE ACCOUNT.

Step 1:Enter Personal Information

Step 2:Multiple Jobsor SpouseWorks

Step 3:Claim Dependent and OtherCredits

Step 4:Other Adjustments

Section 1. Employee Information and Attestation: Employees must complete and sign Section 1 of Form I-9 no later than the first day of employment, but not before accepting a job offer.