JG Fiscal has been appointed to serve as the Fiscal Agent for member/client you work for. As the member’s fiscal agent I need to obtain new employee paperwork for anyone that will be providing services for the member. See below the New Employee Packet, which contains forms and checklists that will be need to be completed and returned at your earliest convenience.
See below the full list of documents and forms in the above-linked packet. Use the link above to download the entire packet, or select from the documents below to download the individual files as-needed.
- Welcome/Intro Document
- Self-Directs Supports Timesheet
- Fiscal Employer Agent New Employee Checklist
- Employee Data Form
- Employee & Employer Agreement
- Form I9: DHS Employment Eligibility Verification
- Form W4: Employee’s Withholding Allowance Certificate
- Form WT-4: Employee WI Withholding Exemption Certificate & New Hire Reporting
- Background Information Disclosure
If you have any questions or concerns please don’t hesitate to contact me at your convenience. See below our contact information, or click here to use our online contact form.
673 4th Avenue North
Park Falls, WI 54552
Toll Free: (888) 689-7798
Fax: (715) 744-4999