Backup of client center page

Benefits	English	Spanish
ESC 5500 Bronze Plan Offer Acknowledgement Form - English
ESC Weekly Reference Manual 2023-2024 - English
ESC Bi-Weekly Reference Manual 2023-2024 - English
ESC Semi-Monthly Reference Manual 2023-2024 - English
ESC Monthly Reference Manual 2023-2024 - English
ESC Weekly Change Form
ESC Monthly Change Form
ESC Weekly Enrollment Form
ESC Bi-Weekly Enrollment Form
ESC Semi Monthly Enrollment Form
ESC Monthly Enrollment Form
ESC Plan 1 Outline
ESC Plan 2 Outline
ESC Plan Design Summary Form

Claims Administration	English	Spanish
Accident Investigation Report
CA State Claim Form (DWC-1)
Claims Reporting Procedures Packet
Consent for Release of Medical Information
Employee Refusal of Medical Treatment
Claims Reporting Procedures Flowchart
Workers' Compensation Claim Protocols
New Hire Safety Orientation Checklist
Post Accident Safety Sign Off Sheet
Safety Meeting Sign Off Sheet
Safety Suggestion Form
Client Work Site Safety Evaluation
Certificate Request Form
New Class Code Location Request
Class Code Addition Staffing

Payroll Administration	English	Spanish
Direct Deposit Form
Direct Deposit Cancellation Form
Direct Deposit Reversal Affidavit Form
Employee Data Change Form
Employee Separation Form
New Hire Packet Input Form
Progressive Discipline Program Form
Hire Packets for California

New Hire Enrollment Packets