Aris Solutions Timesheet

ARIS Solutions Employee Hiring Packet

CHOICES FOR CARE and PARTICIPANT DIRECTED ATTENDANT CARE

Please assure that all highlighted areas on each form are completed. Employers must complete areas highlighted in pink. Employees must complete areas highlighted in yellow.

ALL STARRED (*) FORMS MUST BE COMPLETED AND RETURNED TO ARIS SOLUTIONS

• Employee Hiring Notice *

• Employee Compliance with Agency of Human Services Background Check Policy *

• W-4 and Vermont W-4 Withholding Tax Forms *

• Employment Eligibility Verification Form *

• Important information for all Employees *

• Agency of Human Services Adult Protection Services and Child Abuse Registry Check*

• Request for Criminal Information Check *

• Vermont Driver Information Check *

• Direct Deposit Form

• Pay Schedule – Please keep this schedule for your reference.

Employee Hiring Notice

Employee Compliance with State of Vermont Agency of Human Services Background Check Policy

I, , employee, have reviewed the State of Vermont, Agency of Human Services Background Check Exclusions below and confirm that I do not have any convictions, substantiations or findings as outlined from this Policy which exclude me from being paid to provide supports under the State of Vermont Consumer Directed programs funded by DAIL and/or Medicaid.

I do not have any convictions, substantiations, or findings.

Employee Signature: Date:

I do have findings as outlined in the Policy. My employer will be requesting a waiver.

Form W-4 / W-4VT

Federal W-4 Personal Allowances and withholding information.

First Name: Middle Initial: Last Name:

Address:

City/State/ZIP:

Social Security Number:

Filing Status:

Single Married Married, but withhold at higher Single rate

Total number of allowances:

Additional amount withheld:

Employee signature: Date:

Vermont W-4VT withholding certificate.

First Name: Initial: Last Name:

Social Security Number:

Employee Number:

Vermont filing status:

Single Married Married, but withhold at the higher Single Rate Civil Union Civil Union, but withhold at the higher Single Rate

Vermont withholding allowances:

Additional Vermont tax withheld:

Signature: Date:

Employment Eligibility Verification (I-9)

Employee Name:

Address:

City: State: ZIP: Date of Birth:

Social Security #:

Citizenship/Status:

U.S. citizen Noncitizen national Lawful permanent resident Alien authorized to work

Employer document information:

Employer signature: Date:

Confirmation of Receipt of Important Information for All Employees

I, employee for have received and reviewed the Important Information for All Employees document.

Consent for Release of Information - Adult/Child Registry Check

Employer Name:

Employer Address:

Employer Telephone: Fax:

Full Name: Gender:

Address:

Phone number: Birth Date: Place of Birth:

Last four digits of SSN:

Other names used:

Staff/Contractor/Volunteer Signature: Date:

Request for Vermont Criminal Record Check

Employee:

Maiden or Alias Names:

Social Security Number:

Place of Birth:

Date of Birth:

Telephone Number:

Employee Signature: Date:

Direct Deposit Authorization

Payroll checks must be deposited into ONE ACCOUNT only.

Name:

Telephone:

Bank Name:

Savings Account Checking Account

Signature: Date:

Pay Schedule

Please keep this schedule for your reference.