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Accounting & Payroll

 

main office 207.798.6800     fax 207.798.3929     mobile 207.319.4120     billing office 207.449.1414

 

Payroll Forms:

Payroll Services Request Form

Electronic Payment Authorization

Form 8655

Form 8821

Maine Tax Registration

Form ME UC-28

 

New Employee Forms:

Employee Data Sheet

Form W-4

Form W-4ME

Direct Deposit Form

Form I-9

HSA Form

 

 

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Who We Are

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Resources

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Required Labor Posters:

Federal Minimum Wage

Maine Minimum Wage

Federal Equal Employment

Maine Equal Employment

Maine Child Labor Laws

Maine Unemployment

Family Medical Leave Act

Regulation of Employment

Whistleblower's Protection Act

Workers' Compensation

Medical Billing Forms:

Anthem Outpatient TRF

Tricare / Health Net TRF

Behavioral HealthCare OTR

Magellan Behavioral Health TRF

PHQ -9 Form

Patient Info Sheet

Provider Information Form

Confidentiality Agreement

  

Other Forms:

Bookkeeping Request Form

Form SS-4 (EIN request)

Form W-9 (to confirm TIN)

ACH Authorization

Property Tax & Rent Refund

Maine BETR Form

 
 

To request forms by mail, please call us at 207.798.6800

 
 

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