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.

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

ESC Group Limited Benefits Summary Plan

Summary Plan Docs for the MEC | Spanish