b'Medical Record FoldersEmployee medical records must be \x1f led separatelyits federal law. A number of federal laws, including the AmericansEmployee Management Formswith Disabilities Act (ADA), Family and Medical Leave Act (FMLA), Health Insurance Portability and Accountability Act (HIPAA),Brought to you by ComplyRightGenetic Information Nondiscrimination Act (GINA) and Occupational Health and Safety Administration (OSHA), require employers to maintain the con\x1f dentiality of employee medical information. These records must be stored in dedicated folders and not in employees personnel \x1f les. What It Is: Easy-to-use tools to assist businesses in managing employees, addressing HR challenges and maintaining government compliancefrom attendance tracking to hiring and harassment training.Who Its For: Businesses of all sizes can bene\x1f t from these expert-developed, fully compliant tools. From performance evaluations to state-compliant job applications, we serve as a one-stop shop to make employee management easier.Why Sell It:Every employer faces HR and employee management challenges. To get ahead of their day-to-day responsibilities, they need smart tools. You can be a valued resource for practical, expert-developed solutions.BestsellerWhen to Sell:Con\x1f dential Employee Medical Records FolderYear-round. Con\x1f dential Employee Medical Records Folders are perfect for storing required FMLA forms and for documenting accident and illness information as required by OSHAA2211Standard Payroll Change NoticeA3325Expanded Capacity//Date______________ ID # ______________________________Department _______________________________________/Price per pkg/25. Size: 9 3 / 8 " x 113 4 ". Expanded: 1" expansion.Employee Name ________________________________________Title_____________________________________________Social Security # ________________________________________Date Effective: _________________ Attendance Calendar //Check Appropriate Box: Absence CodesAAdditional Hours JJury Duty TTardy Name: ______________________________________________________Add to Payroll Change Withholding Rate(Complete new W-4 form)Bereavement KTermination UUnexcused LastFirstMiddleB Change RateOld Rate:_________________ per _________Change Status to: DDoctors Appointment LE Left Early XIllness in the Family //CPartial Hours Worked LLeave of Absence VVacation Department: _______________________ Hire Date:________________F yFMLA MMilitary Leave ZLast Day Worked ()New Rate:_________________ per _________ Full-TimePart-TimeTemporar E Excused LO Layoff YFloating Holiday Position: ____________________________ Phone #:________________Remove from Payroll GInjury on Job NNo Call/No Show __ _______________________ Employee/Payroll #: ___________________________________________ Leave of Absence: Paid?Yes No HHoliday PPersonal __ _______________________FLSA Reclassification IIllness Sellf SSuspension= Legal Public Holidays Vacation Time: _____________________ Sick Time:________________s -Return(Date of return to work) /_________________________/ _ _ Change Title to: January February March Address/Information Change _______________________ WTFSTotal SMTWTFSTotal SMTWTFSTotal __________________________________________________ SMT Orthodontic Patient File Folders Transfer to:(Department) __________________________________________________ 12345 34567123456712 67891011128989__________________________________________________ __________________________________________________131415161718191011121314151610111213141516 Record personal data, case details and insuranceChange Shift to: _____________________________________ __________________________________________________ 22232425261718192021222317181920212223 2021 information on the outside for easy access.New Hire Information 2728293031 2425262728 24252627282930 31Notes_____________________________________________Notes_____________________________________________Notes_____________________________________________ Address ___________________________________________________________________________________________________ __________________________________________________ ______________________________________________________________________________________________________________________________________________________ __________________________________________________ __________________________________________________Item No. A1048 Telephone # _______________________________________________Date of Birth(For administrative use only)________________ MayJune //April Status:Full-TimePart-TimeFull-Time TemporaryPart-Time Temporary SM1T2W3T4F5S6TotalSMTW1T2F3S4Total SMTWTFS1TotalPrice per pkg/25. Standard: 11x 9".3 Exempt Non-Exempt Hourly Other _______________________________________ 9101112135678910112345678 78 W-4 attached? Yes No 14151617181920121314151617189101112131415 Rate of Pay___________________Per __________________ 212223242526271920212223242516171819202122 282930 262728293031 23242526272829 30Reason for Payroll Change: Notes_____________________________________________Notes_____________________________________________Notes_____________________________________________ __________________________________________________ __________________________________________________ ____________________________________________________________________________________________________ __________________________________________________Merit IncreaseSee Performance AppraisalNew Employee __________________________________________________ __________________________________________________ ____________________________________________________________________________________________________ __________________________________________________July August SeptemberPromotion Other __________________________________________________________________________________ TWTFSTotal SMTWTFSTotal SMTWTFSTotalSM 1234561231234567 Reason for Termination: 7891011121345678910891011121314 VoluntaryDischargedLaid OffOther 141516171819201112131415161715161718192021 Comments: __________________________________________________________________________________________________ 23242526271819202122232422232425262728 2122 ____________________________________________________________________________________________________________ 3031 25262728293031 29302829 ____________________________________________________________________________________________________________Notes_____________________________________________Notes_____________________________________________Notes_____________________________________________ N//Submitted By: _________________________________________Tittle______________________________Date ________________________________________________________________ ____________________________________________________________________________________________________12 Recordkeeping Folders Approved By:_________________________________________ Employee Management Forms MTWTF1S2Total December T3W4T5F6S7Total 13October November Title______________________________ // MTWTFSTotal SSMDate ______________S 21234512 This product is designed to provide accurate and authoritative information.HwHwHwiotwh ethvhveer u,u,u, int dise rnsotat nad d siunbgs ttttttihihitautt ea nfoyr p p leeeeeergrgrgrsaol na dovr i i ececeenen taintntyd i i idndndnvovoeoeoeslv neodt i i ipnr corveiadtei n67891011123456789891011121314legal opinions on any specific facts or servioat t tliioanb laen fdo any specific questions or concerns 131415161718191011121314151615161718192021 pnro adtutocrinnnnngegege yo cro o o dnicsterrinbiuntgin ygo tututhri psps aprrtoicdcdcduulcatr i sssss i ntu ces. The inrf aoaoaonrnrnmy dadadadtaimomona gigigse psps raorvisiidnegd out of the us ey oourimnaabyi i ihliatvyv et.o use this product. You are urged to consult g, ppaaA02031964 ComplyRight, Inc. Important note: This is approved for use by the purchaser only. This form may not be shared publicly or with third parties.202122232425261718192021222322232425262728 2728293031 24252627282930 293031Notes_____________________________________________Notes_____________________________________________Notes_____________________________________________ __________________________________________________ __________________________________________________ __________________________________________________'