NEW EMPLOYEE FORMS

Welcome to The Summit Family! You will be receiving a new hire/orientation packet in the mail, but you can also find some of our new employee forms here. If you would like, please print them (on white paper only), fill them out, and mail them to:

The Summit Heath & Rehab

Attention: Human Resources
P.O. Box 579
Summit, MS  39666

Download and print 2017 W4 form

Download and print Form I-9 – Employment Eligibility

BCBS – Enrollment Form

BCBS Other_Coverage_Information

Hepatitis B Consent Form

Mississippi tax form

Alabama tax form

Louisiana tax form

Mutual of Omaha – LTD STD New Hire Enrollment Form

Mutual of Omaha Beneficiary Forms038

Summit Direct Deposit Form

Guardian Dental

Employee Handbook Signature Form

Summit Disclosure Form

Summit Name Tag Form

TB Skin Test/Checklist

Summit Orientation Checklist

Summit Electronic Signature Policy

Name and Address Change Form