New Hire Paperwork

Type the employee’s information into all fields on the first page. These fields are used to auto-populate all pages of the new hire packet including legal and benefit forms.

Ensure that every item on this list is sent to the payroll department in the original new hire packet. Employee residency agreement is applicable only if the employee will be living on site. Upon completion of this packet, please fax Employee Information Form, Form W-4, Form I-9, and direct deposit form to 801-676-1671 or email to m.dennis@amcllc.net Part time employees still need to complete every form in this packet including declining all benefit forms.

The highlighted fields must be filled in manually. Full/part time does not auto populate. Please make sure this field is marked. GL Code is very important to ensure payroll is billed correctly. If an employee refuses to give a “RACE” please indicate so in the applicable field.

Line 5 is where the employee will write in the number of allowances they would like to claim. If line 5 is left blank, it will default the employee to claiming 0 allowances.

All employees must initial by every benefit box regardless of enrollment A beneficiary must be elected and equal 100% Signature required by spouse if electing beneficiary other than spouse

Attach a voided check or a letter from the employee’s bank stating their routing and account number. No deposit slips will be accepted. No hand written information will be accepted. Direct Deposit is HIGHLY encouraged!

Enter employee SSN Employee must check the applicable citizenship. This document cannot contain any white out. If a mistake is made CROSS through it. Employee must sign and date this document on the first day of work.

Copies of documentation must be sent with new hire information. This document cannot contain any white out. If a mistake is made CROSS through it. Must accept any documents from List A (only one document required from List A) OR if employee is providing a document from List B or C (they must provide one from List B and one from List C.) List B proves identification, List C proves work authorization in the U.S. See next slide for a list of acceptable documents Copies of documentation must be sent with new hire information. Only UNEXPIRED documents are accepted.

Do not send with new hire paperwork

Must be signed by both the employee and Manager

Employees must print, sign and date this acknowledgement form.

Signature required in highlighted fields

To be completed before hire

Applies to CALIFORNIA employees only Information Only Applies to CALIFORNIA employees only Do not send with new hire original packet.

Spanish version of previous page Information only Applies to CALIFORNIA employees only Do not send with new hire original packet.

Applies to CALIFORNIA employees only May complete the bottom Spanish portion if preferred

Information Only Do not send with New Hire original packet.

Information Only Do not send with new hire original packet. All new hire originals MUST be received by the payroll department within 3 days of the employees start date.

Employee must sign below their name.

For California employees

Employee signature required

For ALL employees other than California.

Employee must sign

Provide employee with a copy of this and the next page once it is signed This document pertains to CALIFORNIA HOURLY employees only

Employee must sign Pertains to CALIFORNIA employees only

Instructions for completing the benefits enrollment process This process must be completed no later than 30 days from hire Please note that there may be a 2-3 day delay in employees being able to log onto www.commonbenefits.com ALL employees are REQUIRED to enroll or decline every benefit through this online process

AMC Employee Benefits Guide

AMC Employee Benefits Guide

AMC Employee Benefits Guide PAGE 1

AMC Employee Benefits Guide PAGE 2 MEDICAL PLAN DETAILS

AMC Employee Benefits Guide PAGE 3 DENTAL PLAN DETAILS

AMC Employee Benefits Guide PAGE 4 VISION PLAN DETAILS

LIFE INSURANCE PLAN DETAILS AMC Employee Benefits Guide PAGE 5 LIFE INSURANCE PLAN DETAILS

SHORT TERM DISABILITY PLAN DETAILS AMC Employee Benefits Guide PAGE 6 SHORT TERM DISABILITY PLAN DETAILS