Additional Forms

 Makeup Time Request California Makeup Time Request. Must be completed for each incident of Makeup time.

>> Blank Timecard <<

Timecard Sample Sample of how to fill out your timecard.

Staffcare Change Form To change Staffcare coverage. To cancel coverage by phone, call 800-269-7783. You will be prompted to enter your PIN Code which is 140-#### (####=to last 4 digits of your SSN)

Staffcare Missed Premium Deduction Form Form to manually send premium to Staffcare if weekly deduction was missed.

Direct Deposit Authorization Form for beginning Direct Deposit. Please sign and fax or email to payroll.

ESC Group Limited Benefits Summary Plan

Summary Plan Docs for the MEC | Spanish