January 1, 2023
2023 Form W-4 for Federal Withholding, and instructions for completion. Please note that this form has been newly redesigned and must be used for all new hires and withholding changes effective 1/1/2023.

January 1, 2023
When hiring a new employee, please have them complete the forms within this packet for payroll purposes. The packet includes a data gathering form, a direct deposit form, NY State and Federal withholding forms, and an I-9 Form. Completed documents may be emailed to your Payroll Specialist or to payroll@bene-care.com, or faxed to 585-347-1334.

January 1, 2023
2023 NYS Form IT-2104, and instructions for completion.

January 1, 2023
2023 New York State Minimum Wage Poster. Changes effective 12/31/2022. Please note that there are some industry specific posters that should be used, visit the Department of Labor webpage for more detailed information.

January 1, 2023
Bene-Care Payroll Direct Deposit Enrollment Form

September 21, 2017
Employment Eligibility Verification Form, and instructions for completion. Printable form, effective 10/21/2019. MUST be used by all employers effective 5/1/2020.

January 1, 2023
Guidelines for Written New York State Notice of Pay Rate and Payday; updated 11/2019. Although forms are no longer required to be furnished and returned annually prior to February 1st, notices must still be given to employees at their time of hire.

January 1, 2023
New York State Wage Theft Prevention Act Notice and Acknowledgement of Pay Rate and Payday form for hourly employees.

January 1, 2023
New York State Wage Theft Prevention Act Notice and Acknowledgement of Pay Rate and Payday form for salaried employees.

January 1, 2023
Bene-Care offers Rapid! Pay employee pay cards as an alternative to receiving a live check or direct deposit.

January 1, 2023
New York State Wage Theft Prevention Act Notice and Acknowledgement of Pay Rate and Payday form for exempt employees.

Please use this form to remove an employee and/or their dependent(s) from your group policy. Once completed please return to Bene-Care for processing.

Please complete this form in order to have Bene-Care automatically withdrawal your monthly health insurance premiums from your business or personal bank account.

Complete this form in order to apply for NYS Paid Family Leave when caring for, or bonding with, a newborn child, or a child that has been recently adopted or placed into foster care. Please be sure to read all instructions carefully.

Complete this form in order to apply for NYS Paid Family Leave when caring for a family member with a serious health condition. Please be sure to read all instructions carefully.

Complete this form in order to apply for NYS Paid Family Leave when assisting with a family member who has a qualified military leave event. Please be sure to read all instructions carefully.

New York State Wage Theft Prevention Act Notice and Acknowledgement of Pay Rate and Payday form for exempt employees.