Some of the forms may require the current version of adobe acrobat reader. Click below to download update Adobe Reader
Arizona
Arizona New Hire Packet Paperwork required for each new employee you hire. Please complete and send back to your Trigon rep.
A4 Tax Form This form is used by employers to determine the correct amount of Arizona state withholding tax to deduct from employees' wages
W4 Tax Form 2008 This form is used by employers to determine the correct amount of federal withholding tax to deduct from employees' wages
I9 Form 2008 The I-9 is a U.S. Citizenship and Immigration Services form. It is used by an employer to verify an employee's identity and to establish that the worker is eligible to accept employment in the United States.
Authorization for Direct Deposit Form to provide authorization from the employee which will allow Trigon to deposit their check directly into their banking institution of choice.
Employer's Report of Industrial Injury Form to complete once an injury has occurred at the jobsite. The employer will complete the form and send to their Trigon rep.
Notice of Employee Change Form completed by the employer to provide notice to Trigon of any change in status of an employee.
Notice of Termination Form completed by the employer to provide notice to Trigon upon the termination of an employee.
Utah New Hire Packet Paperwork required for each new employee you hire. Please complete and send back to your Trigon rep.This is the header graphic that will be displayed across the top of the page.