Landrum Professional
Benefits
Insurance
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Forms
EW2 Forms
Frequently Asked Questions
Departments
Human Resources
Benefits

The below forms are in .PDF format and require Adobe Acrobat.- click to download.)
You will then need to print the forms, complete and fax to 850-478-4088 or mail them to Landrum Professional.

   
HR Forms - New Hire Benefit Forms
Welcome Letter Employee Benefit Options

New Hire Checklist for Returned Forms

Benefits Checklist
Application Health Enrollment Form

Change of Address Form

Section 125 Plan

Employee Handbook
Dental Enrollment Form
Employee Handbook Receipt
Dental Handbook

Dispute Resolution Agreement

Dental/Vision Insert

Discrimination and Harassment Policy
Vision Enrollment
Tax Jurisdiction Form Vision Care Benefit Booklet

I-9

Dental Summary wit MRA info

W-4

Employee Discounts  - Order On-Line

Background Check Authorization Member Status Change Form
Post Job Medical Questionnaire Savings Bond Purchase Form
  ezTax Return


Authorization for Release of Information
IRA Enrollment
Tuition Reimbursement
Florida Combined Life Booklet
Adoption Assistance Reimbursement



Substance Abuse Policy: Safety Forms

Safety Rules

Workers' Compensation Information For Florida's Workers brochure (English)
Workers' Compensation Information For Florida's Workers brochure (Spanish)
Workers' Compensation Forms
Accident Investigation Report

State Specific Withholding Forms:

Payroll Forms
Direct Deposit 
Payroll Explanation

Bank Holiday Schedule

 

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Landrum Professional Employer Services Working a Better Way
Pensacola Office
 · 6723 Plantation Road · Pensacola, Florida 32504
Telephone: 850.476.5100 · Toll-Free: 800.888.0472 · Fax: 850.478.4088
Jacksonville Office · 4720 Salisbury Road · Jacksonville, Florida 32256
Telephone: 904.287.3685 · Tol-Free: 800.888.0472 · Fax: 904.287.7989

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