Staff Tools :: ACCESS Family Care Community Health Center

ACCESS Family Care Community Health Center

Providing quality care to our community since 1996

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Accessfamilycare > Staff Tools

Staff Tools: Employment Forms

AFC HIPAA Hand book.pdf (477,9 kB)
401K Beneficiary Form.pdf (941,2 kB)
401K Enrollment Form.pdf (2 MB)
Advance Pay Request-Receipt Form.pdf (64,7 kB)
Beneficiary Change Form Life Insurance.pdf (2,2 MB)
2013 Organizational Calendar.pdf (85,9 kB)
Direct Deposit Authorization.pdf (542,7 kB)
Disability Accommodation Medical Certification.pdf (984,6 kB)
Disability Accommodation Request.pdf (463,3 kB)
EMAIL Access.pdf (13,9 kB)
Federal W-4 2013 Federal W-4.pdf (106,8 kB)
FSA Reimbursement.pdf (935,2 kB)
Medical Change Form.pdf (1,1 MB)
Mileage-Expense Reimbursement Form.pdf (51,3 kB)
MO W-4 2013 15O. MO State W-4 With ID Numbers.pdf (692,2 kB)
Personnel Action Request.pdf (86,3 kB)
SEMINAR REQUEST Form.pdf (369,3 kB)
YMCA Neosho.pdf (28,9 kB)
YMCA- Joplin.pdf (29,7 kB)

Data And Statistics

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Contact

ACCESS Family Care 4301 Doniphan Drive
Neosho, MO
64850 (417) 451-9450 (417) 451-9456 fax info@accessfamilycare.org

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Providing quality health care since 1996

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