Employee Data Sheet
Authorization for Direct Deposit
Form W-4 Employee’s Withholding Allowance Certificate
Form W-4ME Maine Employee’s Withholding Allowance Certificate
Form I-9 Employment Eligibility Verification
HSA (Health Savings Account) Payroll Deduction
Provider Information Sheet
Leclerc Group Confidentiality Agreement
HIPAA Business Associate Agreement
Provider Billing Sheet (please contact us if you prefer a typeable Excel sheet)
Patient Intake Form
CAQH Online Enrollment
Medicare EDI Enrollment Package
Maine Substitute W-9 & Vendor Authorization Form
Form W-9 Request for Taxpayer Identification Number
Patient Health Questionnaire (PHQ-9)
Behavioral HealthCare Program Outpatient Treatment Plan
Tricare Outpatient Request Form
Maine Minimum Wage
Fair Labor Standards Act – Minimum Wage
Family and Medical Leave Act
Whistleblower’s Protection Act
Maine Workers’ Compensation
Maine Unemployment Regulations
Video Display Terminal
Maine OSHA Regulations
Maine Child Labor Laws
Regulation of Employment
Sexual Harassment Policy
Equal Employment Opportunity (Maine)
Equal Employment Opportunity (Federal)
Maine Equal Pay Law
Preventing Flu in the Workplace
USERRA – Veterans’ Rights
Domestic Violence in the Workplace
Maine Supports Nursing Moms
Employee Polygraph Protection
‘No Smoking’ Sign
Payroll Services Request Form
Electronic Payment Authorization
Maine Application for Tax Registration
IRS Form 8655: Reporting Agent Authorization
IRS Form 8821: Tax Information Authorization
Form ME UC-28: Maine Department of Labor Power of Attorney
Bookkeeping Services Request Form
Leclerc Group Auto-Pay Authorization Form
ACH Payment Authorization
Form SS-4 Application for Employer Identification Number
Maine Workers Compensation Application for Waiver
IRS Form 8832: Entity Classification Election
Maine Form 2848-ME: Power of Attorney and Declaration of Representative
forms
Forms for New Employees
Employee Data Sheet
Authorization for Direct Deposit
Form W-4 Employee’s Withholding Allowance Certificate
Form W-4ME Maine Employee’s Withholding Allowance Certificate
Form I-9 Employment Eligibility Verification
HSA (Health Savings Account) Payroll Deduction
Forms for Healthcare Providers
Provider Information Sheet
Leclerc Group Confidentiality Agreement
HIPAA Business Associate Agreement
Provider Billing Sheet (please contact us if you prefer a typeable Excel sheet)
Patient Intake Form
CAQH Online Enrollment
Medicare EDI Enrollment Package
Maine Substitute W-9 & Vendor Authorization Form
Form W-9 Request for Taxpayer Identification Number
Patient Health Questionnaire (PHQ-9)
Behavioral HealthCare Program Outpatient Treatment Plan
Tricare Outpatient Request Form
Labor Posters
Maine Minimum Wage
Fair Labor Standards Act – Minimum Wage
Family and Medical Leave Act
Whistleblower’s Protection Act
Maine Workers’ Compensation
Maine Unemployment Regulations
Video Display Terminal
Maine OSHA Regulations
Maine Child Labor Laws
Regulation of Employment
Sexual Harassment Policy
Equal Employment Opportunity (Maine)
Equal Employment Opportunity (Federal)
Maine Equal Pay Law
Preventing Flu in the Workplace
USERRA – Veterans’ Rights
Domestic Violence in the Workplace
Maine Supports Nursing Moms
Employee Polygraph Protection
‘No Smoking’ Sign
Payroll Setup Forms
Payroll Services Request Form
Electronic Payment Authorization
Maine Application for Tax Registration
IRS Form 8655: Reporting Agent Authorization
IRS Form 8821: Tax Information Authorization
Form ME UC-28: Maine Department of Labor Power of Attorney
Other Forms
Bookkeeping Services Request Form
Leclerc Group Auto-Pay Authorization Form
ACH Payment Authorization
Form W-9 Request for Taxpayer Identification Number
Form SS-4 Application for Employer Identification Number
Maine Workers Compensation Application for Waiver
IRS Form 8832: Entity Classification Election
Maine Form 2848-ME: Power of Attorney and Declaration of Representative