Forms & Docs | PSH Insurance

Forms & Documents

PSH Insurance, Inc. has access to over 40 high-quality insurance companies. After a review of your specific insurance needs, we can select a company to provide the type of benefit, design, and cost to meet your individual goals and objectives.

I-9 Form
The purpose is to verify the identity and employment authorization of individuals hired for employment in the United States. Form must be retained and stored by the employer either for three years after the date of hire or one year after employment is terminated.

> Printed form for employers with less than 50 employees or for those employers that do not use E-Verify.

> If you are an employer with more than 50 or more employees, ICE is requiring that you utilize E-Verify for more information, please visit https://www.uscis.gov/i-9-central

HC-5 Form

The purpose of this form is used for the following reasons: a) If you work for two or more employers, you must notify each employer whether the employer is the principal employer (the employer responsible for providing health care coverage), b) If you are claiming exemption or waiver from health care coverage. C) If you are changing your principal and or secondary employer designation or if you are terminating your exemption.

> Find form here

WC-1 Form

The purpose is so that your employer can file a workerʻs comp claim on your behalf.

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W-4 Form

The purpose is so that your employer can withhold the correct amount of Federal income tax from your pay.

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HW-4 Form

The purpose is so that your employer can withhold the correct amount of State of Hawaii income tax from your pay.

> Find Form Here

HDS PHI Release Form

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