New Hire Forms

Employment Application   Purpose - Provide Jack Byrne Ford necessary information about prospective or currently hired employees.

IRS Form W4    Purpose -  Complete Form W-4 so that your we can withhold the correct       federal income tax from your pay. Consider completing a new Form W-4 each year and when your personal or financial situation changes

Form I-9 Employment Eligibility Verification   Purpose - Form I-9 is used for verifying the identity and employment authorization of individuals hired for employment in the United States. All U.S. employers must ensure proper completion of Form I-9 for each individual they hire for employment in the United States. This includes citizens and noncitizens.

Drivers License Disclosure and Release  Purpose - Allows us to receive your driving records from the Department of Motor Vehicles. Insurance company requirement.

Driving Policy and Vehicle Usage Polices  Purpose - Explains the driving and usage polices of Jack Byrne Ford

Employee Website Acknowledgement  Purpose - To inform Employees of the existence of the www.Jackbyrne.info employee information portal and its contents.

Direct Deposit Authorization   Purpose - Please complete if you wish your payroll check deposited into your checking or savings account.

Demonstrator Agreement  Purpose - Employee's acknowledgment of responsibilities when issued a Demo

Hazard Communication Program Purpose - Written Hazard Communication Program

Statutory Disability Form

Short Term Disability Claim Form Purpose - Claim form needed to be completed if you are unable to work due to a non-work related issue and wish to receive benefits under New York State's Statutory Disability Insurance.

Life Insurance Forms

Beneficiary Designation Form Purpose - Form necessary to designate your Beneficiary for the Jack Byrne Ford provided Life Insurance.

Life Claim Form  Purpose - Claim form needed to receive Life Insurance

Health and Dental Forms

Blue Cross Blue Shield Enrollment Form  Purpose - Form needed to enroll in our Health Insurance Plans.

Guardian Dental Enrollment Form  Purpose - Form needed to enroll in our Dental Plan

Health Insurance Market Place Notice Purpose - This notice provides some basic information about the new  Health Insurance Marketplace.

Health Plan Summary Plan Description Purpose - The summary plan description is an important document that tells participants what the health plan provides and how it operates.

State & Federal Employee Health Plan Required Notices Purpose - Required notices that are distributed to employees each year.

Workers Compensation Forms 

Claimant Information Packet   Purpose - Contains necessary  instuctions and forms to report a job related injury. Also, contains form to obtain prescriptions for work related injuries.

401k Plan  Forms

401k Plan enrollment booklet is available in the office.

Jack Byrne Ford Employee Security Plan Summary Plan Description Purpose - The summary plan description is an important document that tells participants what the health plan provides and how it operates.

Erisa 404 Particpant Plan Notice  Purpose - Provide disclosures of plan-related and investment-related information.

Incident Reporting Forms

Incident Report of Inappropriate Behavior  Purpose - To be completed by employee to report inappropriate behavior by another.

Incident Form  Purpose - To be completed by Supervisor and Employee when incident is reported

Sexual Harassment Complaint Form  Purpose - If you believe that you have been subjected to sexual harassment, you are encouraged to complete this form