Reliant utilizes a secure website to send and sign hiring paperwork. See the steps below for details about how to fill out the forms. The forms you receive will vary depending on your hiring status and work location. This is a general overview, please ask your liaison if you have any detailed questions about your paperwork.
Receive your digital paperwork in an email and click "view document" to open the forms in a web browser
SignNow will open your web browser & tell you how many places you will need to sign on the forms. Here you will click "get started" to start completing the required forms.
The first time you select "Sign" on the form, you will need to select a signature design. You can choose one of their fonts or draw your own.
Fill out each form included in your link. Here is a list of possible forms. Click on the form title below for details and tips on filling out that form. Please follow these guidelines for filling out all forms:
- Red text boxes are required fields and must be completed before submitting
- Once you have completed each box, it will turn green to know it has been completed
- Other text boxes may not be required but you may need to complete them for your hire to be correctly processed
- Read each text box carefully to ensure you type in the correct information
- Manually type into the text boxes as auto-fill features usually cannot determine the correct fields and do so incorrectly
- Use your full legal name as it appears on your Social Security Card
- By signing and submitting these forms, you are verifying that all information is correct to the best of your knowledge according to your current situation and allowing Reliant to process your hire according to the information on these forms.
- Some changes can be made after these forms are submitted. Please see the details on each individual form for when and how to make changes.
This form directs Reliant on how to handle Federal tax withholding on your paychecks. Below is an example of a filled-out form with instructions. A new W-4 can be submitted at any time by following the directions on this page: Tax Info & Forms (Link to Federal W4)
Step 1: Enter Personal Information
Section (a) - please fill in the appropriate information requested for each box. Be sure to double check your data entry for accuracy.
- First name and Middle Initial
- Last Name
- Address
- City
- State
- Zip Code
Section (b)
- Social Security Number
Section (c)
- Select ONE box that best describes your Federal tax filing status
- Single or Married filing jointly
- Married filing jointly
- Head of Household (see instructions before selecting this box)
Steps 2, 3, and 4 are optional. Select only items that are applicable to your tax situation to help us better estimate your withholding. Otherwise proceed to Step 5: Signature
Step 2: Multiple Jobs or Spouse Works
- If you (1) hold more than one job at a time, or (2) are married filing jointly and your spouse also works, you may choose to check box (c) if there are two jobs total for your household and if those jobs are similar in pay. Otherwise, you may elect to leave this box unchecked.
- Note: Reliant cannot advise you on this selection so please make sure you read the instructions carefully and seek outside professional tax assistance if needed.
Step 3: Claim Dependents:
- Multiply the Number of qualifying children under age 17 by $2,000
- See example above, 1 child = $2,000
- Multiply the number of other dependents by $500
- See example, enter $500 for a spouse that you claim (spouse doesn't work outside of the home) or for an older dependent like a special needs adult living in your household
- Add the amounts from both boxes above and enter the total on line 3
Step 4: Other Adjustments
4(a) Other Income (not from jobs)
This box may be used to indicate additional withholding you want withheld annually to cover other sources of income on which you will pay taxes, such as retirement income or investment income.
See example above, if I expect to have $1200 in Capital Gains on which I'll owe taxes for the year, I'd enter that amount in this 4(a) box.
4(b) Deductions
This box may be used to indicate deductions that you anticipate in excess of the standard deduction amount.
See example above, if I expect to have itemized deductions that exceed the standard deduction amount by $5,000, I would enter $5,000 in this 4(b) box.
- Note: If you anticipate taking the standard deduction when filing your taxes, leave this box blank.
4(c)Extra Withholding
- This box may be used to enter additional tax you want withheld each pay period
- Note: Reliant pays monthly so these extra withholding taxes would be withheld every month, in addition to your normal taxes for that paycheck.
- Commissioned/Ordained Ministers may choose to utilize this box to indicate an amount they want withheld as extra Federal taxes that they will use to cover their 15.3% SECA (Social Security/Medicare) obligation, since Reliant does not withhold FICA taxes for these employees. See Paying SECA Taxes.
Requesting EXEMPTION from Federal Tax Withholding
- To claim exemption from federal tax withholding due to Foreign Earned Income Exclusion or other qualified reasons, the W-4 instructions say write “Exempt” in the space below Step 4(c). Then, ensure you have completed Steps 1a, 1b, and 5. There is an "Optional" Box on the Docusign form for you to indicate this EXEMPT selection.
- See example above, please Type in "EXEMPT" to elect this tax setting.
- Do not complete Steps 2-4 on the form if claiming exemption.
Step 5: Sign Here
- See example above, by selecting "sign" and entering a digital signature this will complete your acknowledgement/submission of this form.
This form gives Reliant permission to deposit payroll and reimbursement funds directly into your checking or savings account(s). A new direct deposit form can be submitted at any time by following the instructions on this page: Direct Deposit.
Section I. Missionary Information
Please fill in the appropriate information requested for each box. Be sure to double check your data entry for accuracy.
- Missionary Full Legal Name (as appears on your bank account) in format: First name Last name
- MTD 4-digit Fund#
- Street Address
- City
- State
- Zip Code
- Birthdate
- Social Security Number
- Phone Number
Section II. Your Account Information
Option A: Deposit my entire NET payroll in this "primary" account
- Select this option if you only have one bank account into which you want your full paycheck deposited.
- Enter the 9 digit ACH routing number for the bank account that will either be the "Primary" or Remainder" bank account, based on what you selected for Option A& B above.
- Note: The routing number is the first set of numbers printed on the bottom of your checks, on the left side.
- This information is also available online on your bank's website or through the bank's phone app
- Enter the Account Number for the bank account that will either be the "Primary" or Remainder" bank account, based on per what you selected for Option A& B above.
- Note: The account number is usually between eight and 12 digits. This number is listed at the bottom of a printed check, after the routing number.
- This information is also available online on your bank's website or through the bank's phone app
- Indicate if this bank account is classified as a Checking or Savings account
- This information is available online on your bank's website or through the bank's phone app
Option B: Deposit the remaining payroll amount (after other deposits listed on this form) in this Primary bank account
- Select this option if you would like to divide your payroll deposit up to be deposited into multiple bank accounts.
- This option is commonly used if an employee prefers to deposit a specific amount from each paycheck into another Checking/ Savings account, and then the remainder into their Checking account.
Primary Routing & Account Information
- Enter the 9 digit ACH routing number for the bank account that will either be the "Primary" or Remainder" bank account, based on what you selected for Option A& B above.
- Note: The routing number is the first set of numbers printed on the bottom of your checks, on the left side.
- This information is also available online on your bank's website or through the bank's phone app
- Enter the Account Number for the bank account that will either be the "Primary" or Remainder" bank account, based on per what you selected for Option A& B above.
- Note: The account number is usually between eight and 12 digits. This number is listed at the bottom of a printed check, after the routing number.
- This information is also available online on your bank's website or through the bank's phone app
- Indicate if this bank account is classified as a Checking or Savings account
- This information is available online on your bank's website or through the bank's phone app
Additional Payroll Account Routing & Account Information
- See the example above, if an employee wanted to deposit $500 into an additional Checking account, they would indicate the deposit amount in this section.
- The remaining portion of their paycheck, after this designated $500 deposit, would then be deposited into the "Remainder" bank account listed under Section 11. Option B above
Section IV. Additional Bank Info P.2 (for a Third Payroll Deposit Bank Account or Special Reimbursement Bank Account)
- If you selected Option B. under Section II. Account Information and have an additional third account you'd like to divide your paycheck deposit into, scroll to P.2 of the Direct Deposit form and enter the additional bank account in Section IV. using the provided cells.
- See the example above, if an employee wanted to deposit $100 into a Savings account, they would indicate the deposit amount in this IV Section.
- The remaining portion of their paycheck, after the designated deposits for additional bank accounts #2 and #3 would then be deposited into the "Remainder" bank account listed under Section 11. Option B above
Section V. - For Reimbursements ONLY
- See example above, if an employee wants all their Reimbursements from Reliant to be deposited into a different bank account other than their "Primary" or "Remainder" bank account specified under Section II. they can complete this section of the Direct Deposit form specifying their Routing and Account number for the bank account they designate for their reimbursements to be deposited.
Signature
- See example above, by selecting "sign" and entering a digital signature this will complete your submission of this form.
This form is a standard liability release for when you are working with Reliant at an associate/volunteer status. This is a required form for all Reliant Missionaries to complete, even if you will be starting out as an employee.
Signature
- Please read through the entire text
- By selecting "sign" and entering a digital signature this will complete your acknowledgement/submission of this form.
This form contains detailed information about the terms of employment with Reliant.
Signature
- Please read the entire text
- By selecting "sign" and entering a digital signature along with typing in your 4-digit MTD FD# this will complete your acknowledgement/submission of this form.
This form may be included for Reliant missionaries serving in the United States who are benefits eligible. If you need to make any benefits selections before your hire, please email benefits@reliant.org.
Section A: Complete with general information about yourself in the red boxes.
Section B:
- If you are enrolling in coverage, you will select " yes " then select who you are enrolling in coverage and what plan you would like.
- If you are waiving coverage because you are covered under another insurance policy (see Medical Insurance Waiver Options ),you will select "no" and it will take you to Section D
Section C : If are enrolling in coverage, complete this box with who will be on your plan. Then it will take you to Section E to sign and submit.
Section D : If you are waiving medical coverage
- Select the waivable reason from the drop down menu below.
- Other Individual Coverage
- Other Group Coverage
- Select who you are waiving coverage for
Section E : Sign the form.
This form may be included for benefits-eligible Reliant missionaries serving in the United States. Dental coverage is an optional coverage that employees may choose to enroll in or decline coverage. See Dental Insurance - Coverage and Rates for additional information about this coverage. If you need to make any benefits selections before your hire, please email benefits@reliant.org.
Enrolling in/Declining Voluntary Dental Coverage:
Select from the Drop Down menu options:
- "I want to enroll in dental coverage."
- "I DO NOT want to enroll in dental coverage."
- The drop down box will remain blank but your selection will allow you to skip completion of the form (if declining coverage) or additional red text boxes will appear (if enrolling in coverage)
Enrolling in Dental Coverage
- Select the plan you want to enroll in:
- DENTAL LOW (Tier One "Low" Plan, Dental 1250)
- DENTAL HIGH (Tier Two "High" Plan, Dental 1500)
- Marital Status
- Social Security Number
- Employee's Last Name, First, MI (Middle Initial)
- Date of Birth
- Male/Female
- Occupation: Use Missionary or Pastor etc.
- Hours worked per week
- Are your earnings paid Hourly/Salaried
- Street Address
- City
- State
- Zip
- Question: Are you covered under another Dental Insurance Plan? Yes/No
- Question: Dependents (Are they covered under another Dental Insurance Plan?) Yes/No
- Dependent Coverage information: Fill in Required fields for all dependents being covered on this dental plan
- Full Legal Name (Last, First, MI)
- Select: ADD
- Relationship: Type Spouse or Child
- Sex: M/F
- Date of Birth
- Social Security Number
Signature
- By selecting "sign" and entering a digital signature this will complete your submission of this form.
You will still need to sign the document even if you select not to enroll in coverage.
This form may be included for Reliant missionaries serving overseas. If you need to make any benefits selections before your hire, please email benefits@reliant.org.
Please follow the instructions below to learn more about what information is needed for each sections.
If you have any questions filling out the Aetna Enrollment Form, please email benefits@reliant.org
Section 1: Policy / Plan Details
This section is to be done by Reliant office staff. Nothing needs to be completed by you at this time.
Section 2: Employee Details
Covered Member Details
This is where you will fill out your personal details. The boxes outlined in red are required and will not let you move forward without completing them.
- Last Name: full legal last name
- First Name: full legal first name
- MI: middle initial (optional)
- Date of Birth: input in Day, Month, Year format (example: 1 January 2023)
- Male / Female: select whichever applies to you
Section 3: Contact Details
Employee Mailing Address
Please input the address where you would like to receive mail.
- Email address: this can be your reliant.org email address or another email address you have access to
- Telephone Number
- Country
- Mailing Address line 1
- Mailing Address line 2 (optional)
- Mailing Address line 3 (optional)
- City
- State / Province (if outside of the US)
- Zip Code
Resident Location
This is the country or location where you are physically present for at least half of a one-year period.
If your Resident Location is the same as your mailing address, you can check the box that says "Check If same as the mailing address."
This will eliminate the boxes, and we will use your mailing address information for your resident location.
If it's not the same as your mailing address, fill out the sections below:
- Country
- Mailing Address line 1
- Mailing Address line 2 (optional)
- Mailing Address line 3 (optional)
- City
- State / Province (if outside of the US)
- Zip Code
Section 4: Additional Information
Citizenship
Please input your primary country of citizenship.
You can add two additional citizenships if desired. If you have more than 2 additional citizenships, please email benefits@reliant.org
Home/origin location
This is the location where the employee resided prior to their assignment and maintains a residence to return to during or following their assignment.
- Country
- City
- State / Province
If your Home/origin Location is the same as your mailing address, you can check the box that says "Check If same as the mailing address."
This will eliminate the boxes, and we will use your mailing address country, city and state for your home/origin location.
Dependents
Here is where you can add dependents if desired.
Boxes will appear, and you can add your dependents. You can add up to seven dependents. If you need more than seven, please email benefits@reliant.org to get them added to your insurance plan.
- Dependent's Full Legal Name
- Dependent's Relationship to you (husband, spouse, daughter, son)
- Dependent's Birth date
- Dependent's Primary Country of Citizenship
Nothing more needs to be done. You can move on to the next section.
Signatures
Sign the document, and adopt the signature if needed.
Then click "Finish" to submit your form.
If you miss anything, the form will require you to complete the red boxes before you can select "finish."
If you see the option to download and print your form, then your form is submitted!
This form may be included for benefits-eligible Reliant missionaries serving in the United States or overseas. The purpose of this form is to designate beneficiaries for required life insurance coverage with Reliant. See Group Life and Voluntary Life Insurance for more details on this coverage. Beneficiary changes can be mad at any time by submitting a new form according to the information on the previously linked page.
Top Section: Enter your Information
- Insured name: (Your Name) First Name Last Name
- Social Security Number: Your Social Security Number
Middle Section: Enter the Information of your Beneficiaries
Primary Beneficiary
Primary/Contingent Beneficiary
If you want to elect more than one Primary or Contingent Beneficiary, enter their name in the optional box, and the remaining required cells will populate. Remember that the divided percentage must total 100%.
- Full Name and Address: Enter the Full Name (First Name Last name) and Address of the person you are selecting as your Primary Beneficiary
- Percentage: Enter 100% (*see details above if you'd like to name more than one Primary Beneficiary)
- Date of birth: Enter your Primary Beneficiary's date of birth
- Relationship: Enter your Primary Beneficiary's relationship to you - Ex. Spouse, Child, Parent, Friend Etc.
- Social Security Number: Enter your Primary Beneficiary's Social Security Number (if choosing a church/charity, enter the organization's Tax ID Number)
Contingent Beneficiary - This is the alternate beneficiary, used only if the Primary Beneficiary is unable to claim the life insurance payout
- Full Name and Address: Enter the Full Name (First Name Last name) and Address of the person you are selecting as your Contingent Beneficiary
- Percentage: Enter 100% (*see details above if you'd like to name more than one Contingent Beneficiary)
- Date of birth: Enter your Contingent Beneficiary's date of birth
- Relationship: Enter your Contingent Beneficiary's relationship to you - Ex. Spouse, Child, Parent, Friend Etc.
- Social Security Number: Enter your Contingent Beneficiary's Social Security Number
Signature
- By selecting "sign" and entering a digital signature this will complete your submission of this form.
This form may be included for Reliant missionaries serving in the United States or overseas. This form is ONLY to be filled out if you are electing OPTIONAL voluntary life insurance coverage - See Group Life and Voluntary Life Insurance for premium rates and more details on this benefit. Please note monthly premiums for this elected coverage will be deducted from the employee's paycheck. If you need to make any benefits selections before your hire, please email benefits@reliant.org.
Declining Voluntary Life Coverage:
- Select from the Drop Down menu: "I do not want to purchase additional voluntary life insurance coverage."
Electing Voluntary Life Coverage:
- Select from the Drop Down menu: "I am electing to purchase additional voluntary life insurance coverage."
Employee/Member Information: Complete these fields with YOUR Personal Information
- Name: (Your Name) First Name Last Name
- Social Security Number
- Gender: Male/Female
- Date of Birth
- State of Birth
- Address
- City
- State
- Zip
- Phone Number
- Occupation: Use Missionary or Pastor etc.
- Annual Compensation: Use the annual salary you are accepting from Reliant
- Hours worked per week
- Email address: This should auto-fill
- Question: Are you actively performing the duties of your occupation or profession? Select "Yes"
- Question: Have you used tobacco in any form in the last 12 months? Select the appropriate answer - Yes/No
Coverage Elected and Amounts: Select the Amounts and Types of Coverage from the options provided
Voluntary Term Life Coverage Employee
- This is additional Life insurance to cover you, the employee.
- Select Enroll/Decline per your preference
- Note: you may elect up to $100,000 in guaranteed coverage. For greater amounts of coverage RSLI may seek evidence of insurability. Contact Employment Services for information about this benefit.
Voluntary Term Life Spouse
- This is additional Life insurance to cover your spouse
- Select Enroll/Decline per your preference
- Note: you may elect up to $30,000 in guaranteed coverage. For greater amounts of coverage RSLI may seek evidence of insurability. Contact Employment Services for information about this benefit.
- Once you Select "enroll" for this coverage you will then need to go back and complete the section above titled: Spouse Information (it will appear with red text boxes when you select "Enroll")
- Spouse Name
- Gender
- Date of Birth
- State of Birth
- Address
- City
- State
- Zip
- Question: Has your spouse used tobacco in any form in the last 12 months? Select the appropriate answer - Yes/No
Voluntary Term Life Dependents
- This is additional Life insurance to cover your dependents (children 26 years of age and younger).
- Select Enroll/Decline per your preference
- Note: you may elect up to $10,000 in guaranteed coverage.
This form may be included for Reliant missionaries serving in the United States or overseas. RPI and emergency contact changes can be made at any time using the directions on this page: Release of Personal Information.
- Indicate who you would like Reliant to contact in case of an emergency
- Select if you would to allow us to release any information related to your Reliant employment. See Release of Personal Information for more details.
- Add any additional individuals
Emergency Contact
Please fill in the required fields:
- Full name: First Name Last Name
- Relationship: Spouse, Parent, Sibling, Friend, Etc
- Address:
- City:
- State:
- Zip Code:
- Email Address:
- Phone Number:
Release of Personal Information
Release of Personal Information
If you want to elect for your Release of Personal Information Designee to only have access to specific types of information, excluding some items on this list, you may elect to fill out this form - see Release of Personal Information. For the purposes of this Docusign form we have only allowed release of ALL information types, as that is the most common Release of Personal Information Designation.
Declining To Submit a Release of Personal Information Designee:
- If you do NOT want to designate someone to have access to these types of information on your behalf, skip these options and leave the check box and drop downs blank.
Electing to authorize your Emergency Contact as a Release of Personal Information Designee:
- Check the box "I grant authorization to Reliant Mission to release the following information to this third-party designee"
- Select what information you would like to release. Check either "All Information" or which individual types of information you would like to release.
- Select from the Drop Down menu Options:
- "I have completed releasing my information"
- "I would like to release information to additional individuals"
Electing to authorize an Additional Contact(s) as Release of Personal Information Designee(s):
Please fill in the required fields:
- Full name: First Name Last Name
- Relationship: Spouse, Parent, Sibling, Friend, Etc
- Address:
- City:
- State:
- Zip Code:
- Email Address:
- Phone Number:
- Check the box "I grant authorization to Reliant Mission to release the following information to this third-party designee"
- Select what information you would like to release. Check either "All Information" or which individual types of information you would like to release.
- Select from the Drop Down menu Options:
- "I have completed releasing my information"
- "I would like to release information to additional individuals"
Signature
- By selecting "sign" and entering a digital signature this will complete your submission of this form.
Click "finish"
Reliant will review the paperwork and notify you should we need corrections or additional paperwork.
Once the forms have been verified as complete, you will receive an email with all completed forms attached as PDF's.
