Synergetic, Inc.

New Hire Forms
Print out the following three documents. Upon completion by you and your supervisor, please fax (along with copies of your I-9 documentation) to us at (803) 772-1465 or mail to us at: Synergetic, Inc. 10 Woodcross Drive Columbia, SC 29212
New Hire Packet
Form I-9, Employment Eligibility Verification
Form I-9, Employment Eligibility Verification (Spanish)
HIPPA Training
W-4, Employee’s Withholding Allowance Certificate

Employer Forms
Employee Termination Notification
OSHA 300 Form
Payroll Deduction Agreement
Personnel Status Change

Individual Employee Forms and Information
401k Change Request Form
401k Catch-Up Contribution Authorization
401k Enrollment Form
401k Hardship Request Form
401k Loan Request Form
401k Multiple Distribution Request Form
Acknowledgement of Co-employment
Address Change
AFLAC Flex One® Form (Medical FSA and/or Dependent FSA)
AFLAC Flex One® Form (Medical FSA Only)
Application for Employment
Authorization for Background Check
Authorization for Direct Deposit
Blanket Deduction Agreement
EEO Policy
EEO Survey
Emergency Contact
Evidence of Insurability
Form I-9, Employment Eligibility Verification
Form I-9, Employment Eligibility Verification (Spanish)
Notice of Workers' Compensation
Name Change Form
Request for Vacation
Sexual Harassment Policy
Salary Redirection Agreement
Substance Abuse Testing Consent Form
Suggested Terms of Employment Notice
Vietnam Era and Special Disabled Veterans
W-4, Employee’s Withholding Allowance Certificate
Wachovia New Account Form
Your Rights Under the Family and Medical Leave Act of 1993

Merritt Veterinary Supplies, Inc. Specific Forms
401k Enrollment Form
401k Participant Change Form
American United Life Insurance Group Enrollment Form
American United Life Insurance Statement of Insurability

A Professional Employer Organization