Forms

Contact Information

Who To Contact Info Sheet

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Payroll

Payroll Tax Determination Exemption Form_Fillable

W-4 – Employee’s Withholding Certificate

Pay Selection Form

Wisely Card Info Sheet

CDTN 2024 Payroll Calendar

CDTN 2024 Payroll Calendar – Spanish Version

CDTN 2023 Payroll Calendar

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Wage Memos

CHOICES – Service Agreement – Wage Memo

ECF – Service Agreement – Wage Memo

Katie Beckett – Service Agreement – Wage Memo

SDWP – Service Agreement – Wage Memo

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Rates and Employer Costs

CHOICES Services and Rates

ECF CHOICES Cost to You

Katie Beckett Part A Cost to You

Katie Beckett Part B Cost to You

SDWP Services and Rates

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Worker Data Forms

CHOICES Worker Data Form Fillable

ECF CHOICES Worker Data Form Fillable

Katie Beckett Worker Data Form Fillable

SDWP Worker Data Form Fillable

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Member Data Forms

CHOICES Member Data Form Fillable

ECF CHOICES Member Data Form Fillable

Katie Beckett Member Data Form Fillable

SDWP Member Data Form Fillable

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Worker Daily Log Forms

CHOICES Worker Daily Log

ECF CHOICES Worker Daily Log 

Katie Beckett Worker Daily Log 

SDWP Worker Daily Log 

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Other

IVR Registration Form

First Aid and CPR Vendor List

Appointment of Designated Representative

Reimbursement/Vendor Payment Form_Printable

Reimbursement/Vendor Payment Form Fillable

Reimbursement/Vendor Direct Deposit Form Fillable