Alliance Health Care

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Miscellaneous Forms

Here you will find links to forms commonly requested by our customers. The forms that are PDF's require Adobe Acrobat Reader.

PDF iPay Employee Quick Reference Guide 
Word iPay Statement Registration Code and Instructions 

PDF
245D Annual Training Packet More Than 5 Years - 2016 
PDF 245D Annual Training Packet Less Than 5 Years - 2016 
PDF 245D Training 2015 

PDF
Medicare Parts C and D General Compliance Training 
PDF Medicare Parts C and D Fraud, Waste, and Abuse Training 
Word Medicare Training Complete Form 
PDF Medicare Training Complete Form 

PDF
W-4 Form 2016 
PDF W-4 Form from the IRS in PDF format 
PDF I-9 form in PDF Format
PDF Tax Reciprocity Form in PDF Format
Excel CDCS Expense & Mileage Forms 
PDF 2016 CDCS Reimbursement Schedule in PDF Format
Excel 2016 CDCS Reimbursement Schedule 
Excel CGS Expense & Mileage Forms 
Excel CDCS/FSE Service Menu in Excel 
PDF Expense Reimbursement and Mileage Record Forms 
Word Expense Reimbursement and Mileage Record Forms 

Adobe Acrobat Reader is required to read PDF files. If you don't have this program you may download it free from this link.


For more information, please call 1-800-548-0980.