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Copyright 2010               R.L.Johnson & Son, Inc.
Resources For Clients

Instructions for completing new employee paperwork.

  • Arkansas
  • Texas
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    Forms Download Area (Adobe Acrobat Reader Required) If the form requested does not appear in a window try right clicking the link and selecting "save target as...".

    All forms can be faxed to 870-862-3706.

  • Johnson Payroll Status/Change Form (Primary form for clients to report all employee changes.)
  • Federal W4 (Federal IRS Withholding Form)
  • Federal I-9 (Federal Dept. of Homeland Security Employment Eligibility Verification Form)
  • Arkansas Employee Withholding Exemption Certificate AR4EC (Ark. Withholding Form)
  • Louisiana Employee Withholding Certificate L-4 (Louisiana Withholding Form)
  • Employee Direct Deposit Authorization (To start or change direct deposit of employee wages.)
  • Employee Discipline Form (To be used to document employee discipline.)
  • Client ACH Direct Payment Authorization Form (To start or change the account used for auto billing.)
  • Deduction Authorization Form (To be completed when misc. deductions are to be withheld from EE check.)
  • AR4ECTX (For Employees Working/Living in Texarkana AR)
  • W5 EIC (Earned Income Credit Advance Payment Certificate)
  • Arkansas Employee First Notice of Injury (Completed by Employee as soon as possible after injury.)
  • Application for Employment (Generic Johnson Employer Support Services application)
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    Health Insurance Forms Applications & Change forms should be submitted to Johnson Employer Support Services and not directly to the carrier. Claim forms should be sent directly to the carrier either directly or by the service provider.

  • BCBS Medical Application
  • BCBS Medical Claim Form (Used for reimbursements of covered medical treatment)
  • BCBS Change Form (Used any changes or cancelations in BCBS Group Coverage)
  • USAble Group Life Application (Required with BCBS Group Coverage)
  • Delta Dental Application & Change Form
  • Delta Dental Claim Form
  • VSP Vision Application

    • If there is a form you need that isn't listed above,give us a call at 800-689-9172