New Employees

For your convenience, we have provided  the forms you will need for your Human Resources orientation, as well as information about benefits. Please print and complete the necessary forms listed below, and bring them to Human Resources prior to your orientation.  If you have any questions, please call Human Resources at 401-528-0157.

SECTION 1
Required documents for all new employees: Please bring these completed forms with you to orientation:

• I-9 Employment Eligibility Verification
• W-4 Form: Employee Withholding Allowance
• Automobile Policy No. 3.17
• Automobile Policy Agreement
• Confidentiality Oath and Ethics Acknowledgement
• Confidentiality Policy No. 8.00
• Degree(s) Verification
• Drug and Alcohol Policy No. 3.08
• Election Form and Salary Reduction Agreement
• Emergency Contact Form
• Employment Application
• Equal Opportunity Policy No. 3.00
• Equal Opportunity/Drug and Alcohol Policy Receipt
• Ethical Conduct Policy No. 8.02
• Hepatitis B Form
• HIPPA Acknowledgement
• ID Badge Policy
• MHRH Database Form
• Staff Code of Ethics

 

SECTION 2
For new employees working in Child & Family Services/The Providence Center School:

• Summary of required documents
• Summary of required documents only for employees of The Providence Center School
• DCYF Clearance Request/Results
• DCYF Criminal Records Affidavit
• DCYF Employment History Affidavit
• Certificate of Teaching Service

SECTION 3
For new employees working in Community Support Services:

• Summary of required documents

SECTION 4
For new nurses:

• Summary of required documents

SECTION 5
For new employees working in the substance abuse program:

• Summary of required documents

SECTION 6

Other documents:

• 2008 Holiday Schedule
• 403(B) Plans Overview
• 403(B) Salary Reduction Agreement
• Direct Deposit Form
• Life Assistance Program

 

SECTION 7

Benefits Information:

• Benefits Highlights
• More Benefits Highlights
• Delta Dental Highlights
• Health Care & Dependent Care Plan Overview
• Health Care & Dependent Care Reimbursement Enrollment Form
• Health Care & Dependent Care Reimbursement Handbook
• Health Care & Dependent Care Reimbursement Highlights
• Tuition Assistance
• Waiver of Health Insurance

 

SECTION 8

Credentialing Applications:

• Application for Beacon Credentialing
• Application for Magellan Credentialing
• Application for New Medicare Credentialing - CMS855I
• Application with Previous Medicare Number - CMS855R
• Medicaid application
• UBH Provider Agreement
• UBH Provider Application
• NPI Application

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