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Form for participating employees.

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22 UHA Forms - Template-Enroll.-Rev. - Maika'i Health Corp

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Required for all new employees.

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Conflict of Interest Acknowledgement Form (fillable)

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Employee Receipt and Acceptance Agreement

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Employee Receipt and Acceptance Agreement

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All new employees must sign this acknowledgement that they received the Personnel Handbook.

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Employee Receipt and Acceptance Agreement

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Use this form for expenses incurred for approved travel for MH business (off island travel).

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(FIN) Travel Expense Reimbursement Form [fillable]

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Use this form for non-travel related expense reimbursements.

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(FIN) Expense Reimbursement Form [fillable]

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We are planning on returning to direct deposit payroll in February/March. At that time, this will be the form used to establish direct deposit and also request to update/change banking status, etc.

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MH Employee Payroll Direct Deposit Form [fillable]

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Use this form for all leave requests, including UTO.

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Waiver of Health Coverage Form (fillable)

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Employee Emergency Contact Information Form

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Employee Emergency Contact Information Form

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This form should be updated whenever there is a change to your emergency contact.

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Employee Emergency Contact Information Form (fillable)

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Continuing Education Request Form (fillable)

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v1.4: Change to recognized holidays (per staff vote.)

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Register on Zenefits

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Best Medical and Health Insurance Plans In Hawaii

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We're an employee health insurer, founded by physicians to make health insurance simpler, smarter, and more caring. Over 4,000 local businesses and their employees have selected us as their pathway to better health. Join us on the journey. Welcome to UHA Stay up to date with the exciting things happening at UHA.