Employment Forms
New Hire Forms
Employment Application Purpose - Provide Marchese Ford necessary information about prospective or currently hired employees.
IRS Form W4 Purpose - Complete Form W-4 so that your we can withhold the correct federal income tax from your pay. Consider completing a new Form W-4 each year and when your personal or financial situation changes
Form I-9 Employment Eligibility Verification Purpose - Form I-9 is used for verifying the identity and employment authorization of individuals hired for employment in the United States. All U.S. employers must ensure proper completion of Form I-9 for each individual they hire for employment in the United States. This includes citizens and noncitizens.
Drivers License Disclosure and Release Purpose - Allows us to receive your driving records from the Department of Motor Vehicles. Insurance company requirement.
Driving Policy and Vehicle Usage Polices Purpose - Explains the driving and usage polices of Marchese Ford of Mechanicville
Employee Website Acknowledgement Purpose - To inform Employees of the existence of the www.marcheseford.info employee information portal and its contents.
Direct Deposit Authorization Purpose - Please complete if you wish your payroll check deposited into your checking or savings account.
Demonstrator Agreement Purpose - Employee's acknowledgment of responsibilities when issued a Demo
Saftey Orientation Guide Purpose - This guide is designed to help you understand our company safety programs and safety expectations.
Hazard Communication Program Purpose - Written Hazard Communication Program
Section 125 POP Plan Summary Purpose - Summary of our "cafeteria plan" which offers the option of paying for qualified benefits on a pre-tax basis.
NY Workplace Violence Prevention Plan (Policy) Purpose -
Explains Marchese Fords Workplace Violence
Prevention Plan.
Statutory Disability Form
Short Term Disability Claim Form Purpose - Claim form needed to be completed if you are unable to work due to a non-work related issue and wish to receive benefits under New York State's Statutory Disability Insurance.
Life Insurance Forms
Beneficiary Designation Form Purpose - Form necessary to designate your Beneficiary for the Marchese Ford provided Life Insurance.
Life Claim Form Purpose - Claim form needed to receive Life Insurance
Health and Dental Forms
Blue Cross Blue Shield Enrollment Form Purpose - Form needed to enroll in our Health Insurance Plans.
CDPHP Enrollment Form Purpose - Form needed to enroll in CDPHP Health Insurance Plan
Guardian Dental Enrollment Form Purpose - Form needed to enroll in our Dental Plan
Health Insurance Market Place Notice Purpose - This notice provides some basic information about the new Health Insurance Marketplace.
Health Plan Summary Plan Description Purpose - The summary plan description is an important document that tells participants what the health plan provides and how it operates.
State & Federal Employee Health Plan Required Notices Purpose - Required notices that are distributed to employees each year.
Health Care Participant Wavier Purpose - employee declines coverage from any Marchese Ford Health Plans
Premium Assistance Under Medicaid and the Childrens Health Insurance Program (CHIP) Purpose condensed - required notice to to inform the availabilty of childcare health insurance.
Workers Compensation Forms
Claimant Information Packet Purpose - Contains necessary instuctions and forms to report a job related injury. Also, contains form to obtain prescriptions for work related injuries.
Workers' Compensation Temporary Prescription Benefits Purpose - utiliize this temporary prescription to get necessary medication for a Workers' Compensation injury.
401k Plan Forms
401k Plan enrollment booklet are available in the office.
Enrollment Form Purpose - to collect information necessary to enter the plan
Beneficiary Form Purpose - sellect your beneficiary
Roll-Over Form Purpose - Used to move funds you may have at a previous employer to the Marchese Ford of Mechanicville 401k Plan.
Marchese Ford of Mechanicville Employee Security Plan Summary Plan Description Purpose - The summary plan description is an important document that tells participants what the health plan provides and how it operates.
Erisa 404 Particpant Plan Notice Purpose - Provide disclosures of plan-related and investment-related information.
Preretirement Death Benefit Explanation Purpose - Clarify how death benefits are distributed if you pass away before retirement
Incident Reporting Forms
Incident Report of Inappropriate Behavior Purpose - To be completed by employee to report inappropriate behavior by another.
Incident Form Purpose - To be completed by Supervisor and Employee when incident is reported
Sexual Harassment Complaint Form Purpose - If you believe that you have been subjected to sexual harassment, you are encouraged to complete this form
NY Hero Act
Marchese Ford Airborne Infectious Disease Exposure Prevention Plan - Purpose - to protect employees against exposure and disease during an airborne infectious disease outbreak