Fiscal Agency Forms

Welcome! All necessary forms which include; Federal, State and agency are provided by Peaceful Living with instructions for completion. Below are the forms that are required, please click the appropriate form and print. The forms will need to be mailed and/or brought to the office located at
1200 Hosford St. 107 Hudson, WI 54016.
Please contact Sam Cain at 715-386-7071 if you have any questions.

 

Downloadable Forms

[ In order to access the forms please click on the name of the form ]

Participant (Family) Packet

Member Enrollment Packet Participant/Member Enrollment Checklist
Member Record of Agreement
Employer Handbook
Participant Member Packet Cover
SS-4 Fein Application
State of WI Minor Labor Hours
WI Min Wage
Form 2678 Employer-Payer Appointment
Release of Confidential Information
Participant Enrollment Checklist
Application for Business tax registration

Joint Packet (Employee & Member)

2014-Pay-Period-Schedule Write Description
Application-for-Employment
Employee Status Change Form
Employee-Authorization-for-Direct-Deposits
Job-Description Employee Job Description (optional but encourage to outline duties of position)
Fiscal-Agent-Services-Time-Card Time Card
Form-I-9 Form I-9 (Employment Eligibility Verification) approved by participant/member
Form-I-9-Instructions
Form-W-4-2013-Example
Form-W-4-2013
Instructions-for-Completing-Form I-9
Mileage-Documentation
New-Employee-Checklist
New-Employee-Setup-Form
Participant-Employee-Packet-Cover
rapid-paycard
WI-Background-Information-Disclosure