Employee Forms
You will need Adobe Reader to view PDF files.
Click here to download the latest version of Adobe Reader.
PDF Files:
W4 2006 Form
I9 Employment Eligibility Verification
DE6 Employee's State Withholding Allowance Certificate
Kaiser Enrollment Change Application (English)
Kaiser Enrollment Change Application (Spanish)
Blue Shield PPO Dental Plan Brochure
Blue Shield HMO Dental Plan Brochure
Blue Shield Dental Refusal Form
Microsoft Word Files:
Request for Day(s) Off
Direct Deposit
Emergency Contact
American Independent, Inc. Employment Application
HTML Files (For users who do not have Microsoft Word):
Request for Day(s) Off
Direct Deposit
Emergency Contact
American Independent, Inc. Employment Application