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iiQ HRSD - FAQ - What “out of the box” forms come with HRSD Module?

Form Name

Description

Example

**Forms are subject to change and may look different than you see here

New/Custom Form

Build your own form from scratch.

Change of Address

(new and old address)

Form includes employee’s name, SSN or Employee ID, new and old address, effective date of change.

Change of Address

(new address only)

Form includes employee’s name, SSN or Employee ID, new address, effective date of change.

Change of Address - no PDF file

Form includes employee’s name, SSN or Employee ID, new and old address, effective date of change

  • No PDF file

Change of Name - no PDF file

Form includes employees new and old names, SSN or Employee ID, effective date of change.

  • No PDF file

Change of Name - PDF file

Form includes employees new and old names, SSN or Employee ID, effective date of change.

Direct Deposit Authorization Form

(one bank account)

Form includes all bank details and a request to attach a voided check.

Emergency Contact Form (long) - PDF file
(two phone numbers per contact)

Form includes 2 emergency contacts with 2 phone numbers per contact, 1 medical contact with 2 phone number

Emergency Contact Form (short) - PDF file
(one phone number per contact)

Form includes 2 emergency contacts with 1 phone number, a dentist and a medical contact with 1 phone number each

As well as, medical contacts specifically for their doctor and dentist.

Emergency Contact Form - no PDF file

(two phone numbers per contact)

This form allows two emergency contacts with two phone numbers for each contact.

As well as, one medical contact with two phone numbers for this contact.

  • No PDF file

Employee Accident Report - no PDF file

Form can be used by employees to notify about an accident.

Form is created from scratch and does not have any PDF files associated with it.

Employee Election of Workers’ Compensation Benefits (GA)

Form can be used by employees to choose their Workers' Compensation Benefits in case of an accident.

Form is created from scratch and does not have any PDF files associated with it.

FD-258

(fingerprinting Form)

This form needs to be signed offline, so there’s no signature field on the form available.

Have the new hire complete the form online. Next, have your HR Specialist print out the completed form and ask the new hire to sign the form and notarize it.

Federal I-9

Two Forms

  • (Versions 8/1/2023) - (Expires on 7/31/26)

  • Expires on 10/31/2023

We suggest filling in page 1 of the form that contains information about the new hire.

iiQ’s instance includes an electronic signature from the new hire.

If your districts needs the new hire to sign the form onsite. We suggest removing the signature fields from the template form. Have the new hire complete the form online.

Next, have your HR Specialist print out the completed form and ask the new hire to sign the form.

GA Authorization and Consent to Release Medical Information

Georgia State Security Questionnaire, Loyalty Oath

This form needs to be signed and notarized offline, so there’s no signature field on the form available.

Use case: The new hire fills in the form at home and comes in on-site where the HR Specialist prints out the form with already filled-in details, asks the new hire to sign the form, and notarizes it

Illinois (IL) W-4 (R-07/23)

Illinois (IL) W-4 (R-07/23) Employee’s and other Payee’s Illinois Withholding Allowance Certificate

Indiana (IN) Employee's Withholding Exemption & County Status Certificate

Injury Form - PDF File

Includes information about the injury and the situation how it occurred.

IT-2104 Employee’s Withholding Allowance Certificate NY State, NYC, Yonkers 2025

vvvvvvvvvvvvvvvvvKansas (KS) K-4

Kansas K-4 (Withholding Certificate). Rev. 11-18.

Form is based on a PDF File.

Massachusetts (MA) M-4

Georgia (GA) Employee Withholding Certificate G-4 (Rev. 08/15/2024)

Form is based on a PDF File.

Louisiana (LA) Employee Withholding Exemption Certificate (L-4)

Form is based on a PDF File.

Ohio (OH) Employee's Withholding Exemption Certificate

Form is based on a PDF File.

Wisconsin (WI) Employee’s Withholding Exemption Certificate/New Hire Reporting (WT-4) (R. 8/23)

Form is based on a PDF File.

Michigan (MI) Employee’s Withholding Exemption Certificate (MI-W4 Rev 01-25)

Form is based on a PDF File.

California (CA) Employee Withholding Allowance Certificate Rev. 53 Form DE-4 (12-23)

Form is based on a PDF File.

Oklahoma W-4

New Jersey (NJ) W-4

Rhode Island W-4 v 2024

Post-offer Medical Questionnaire

Includes information about previous surgeries, medications the new hire takes and a questionnaire about medical conditions or diseases that the new hire had or has been treated for.

Use case: the new hire completes it as a part of the new onboarding package after they receive an offer.

SSA - 1945 (01-2013 Version)

Statement Concerning Your Employment in a Job Not Covered by Social Security

W-4 - 2025
(with with page 3)

2025 version that includes multiple jobs and deductions worksheets on page 3.

W-4 - 2025
(with without page 3)

2025 version that does not include multiple jobs and deductions worksheets on page 3.

WC 207 Georgia State Board Of Workers' Compensation. Authorization And Consent To Release Medical Information

Georgia State Board Of Workers' Compensation. Authorization And Consent To Release Medical Information.

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Hannah Bailey - Director, Customer Engagement

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