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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 email payroll@reliant.org if ask your liaison if you have any detailed questions about your paperwork.

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Receive your digital paperwork envelope in an email and click the link and click "view document" to open envelope the forms in a web browser

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If you are using a non-Reliant email, we will provide you with a personalized authentication code in the message text of the email. Enter this authentication code when prompted to access the paperwork. Make sure to include any dashes or slashes.

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You will then need to authorize DocuSign to collect your signature digitally. Check the box and select continue.

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.

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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.


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Fill out each form included in your envelopelink. 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
  • Fill out all required fields (red text boxes)
  • Read each text box carefully to ensure you type in the correct information. There may be additional text boxes you may need to select and fill out that are not red. For example, adding coverage for a spouse or dependents will require completing some of the gray optional fields on the enrollment forms. 
  • 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 Use your Full LEGAL name (no nicknames), as it appears on your Legal Documents
  • Please manually type in information. Pre-filling or auto-filling may cause the form to fill incorrectly. 
  • 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 and the information that will be provided on the check out form at the end of training..
  • Some 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. 
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titleForm IW-94


Info

This form allows us to verify your eligibility to work in the United States, as required by the federal government. The collection of this form varies based on the type of training you attend. Please see (Virtual) I-9 Verification for New Hires for details on this training.

  • Fill out all required fields
  • Read each text box carefully to ensure you type in the correct information
  • Use your Full LEGAL name (no nicknames), as it appears on your Legal Documents
  • Please manually type in information. Pre-filling or auto-filling may cause the form to fill incorrectly. 

Section One - Personal Information

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  • Last name (Legal Name)
  • First Name (Legal Name - no Nick names)
  • Middle Initial
  • Address
  • City
  • State
  • Zip Code
  • Date of Birth - mm/dd/yyyy
  • U.S. Social Security Number - Please DOUBLE CHECK this to ensure you typed it corrected
  • Employee's E-mail Address
  • Employee's Telephone Number

Section Two - Citizen/Residency Status

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Select the correct option based on your status:

Warning
titleNon-United States Citizens

Please make sure Reliant is aware of your status and has reviewed/approved applicable Permanent Resident Card/Visa documentation.  

  • A citizen of the United States
  • A noncitizen national of the United States
  • A lawful permanent resident
  • An alien authorized to work

Section Three - Signature

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  • Please review all the above information, verifying you have correctly entered all required fields and select "Sign" and enter a digital signature. 

Section Four - Preparer and/or Translator certification (check one)

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  • Select the check box 'I did not use a preparer or translator"  
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titleForm W-4

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

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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)
Tip

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

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  • 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:

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  • 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

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  • 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
Info

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: Taxes and W-2s

Step 1: Enter Personal Information

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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)
Tip

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

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  • 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:

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  • 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

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  • 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.


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titleDirect Deposit


Info

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 of numbers printed  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 of numbers printed  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.


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titleAssociate Waiver


Info

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.


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titleEmployee Acknowledgement Form


Info

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.


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titleGuidestone Medical Enrollment Form


Info

This form may be included for Reliant missionaries serving in the United States who are benefits eligible. If  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:

  1. If you are enrolling in coverage, you will select " yes " then select who you are enrolling in coverage and what plan you would like. 

  1. If you are waiving coverage because you are covered under another insurance policy (see 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.

Note
If you are waiving coverage DocuSign will take you to Section D

 

Section D : If you are waiving medical coverage 

  1. Select the waivable reason from the drop down menu below.

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      1. Select who you are waiving coverage for and click the paperclip to add a picture of your insurance card for proof of coverage 
        1. If you do not have a picture of your insurance card, please attach any picture so DocuSign lets you move forward on the form & e-mail in your insurance card to benefits@reliant.org as soon as you can.
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        1. Other Individual Coverage 
        2. Other Group Coverage

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      1. Select who you are waiving coverage for
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      Section E : Sign the form.

       


    international:AETNA Enrollment Form Guide - Docusign
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    titleRSLI Dental Enrollment Form


    Info

    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   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: 

    • "no deny I want to enroll in dental coverage."
    • "yes 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

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    • By selecting "sign" and entering a digital signature this will complete your submission of this form.
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    titleAetna International Enrollment Form
    • " and entering a digital signature this will complete your submission of this form.
    Note

    You will still need to sign the document even if you select not to enroll in coverage.

    Info

    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. 

    Include Page
    international:AETNA Enrollment Form Guide - Docusign



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    titleRSLI Life Insurance Beneficiary Aetna International Enrollment Form


    Info

    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.  If you need to make any benefits selections before your hire, please email benefits@reliant.org. 

    Include Page
    international:AETNA Enrollment Form Guide - Docusign
    international:AETNA Enrollment Form Guide - Docusign


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    titleRSLI Life Insurance Beneficiary Form


    Info

    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

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    • 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

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    Info
    titlePrimary/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%.

    Top Section: Enter your Information

    Image Removed

    • 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

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    Info
    titlePrimary/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 

    Contingent Beneficiary - This is the alternate beneficiary, used only if the Primary Beneficiary is unable to claim the life insurance payout

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    • Full Name and Address: Enter the Full Name (First Name Last name) and Address of the person you are selecting as your Contingent Primary Beneficiary
    • Percentage: Enter 100% (*see details above if you'd like to name more than one Contingent one Primary Beneficiary)
    • Date of birth: Enter your Contingent your Primary Beneficiary's date of birth
    • Relationship: Enter your Contingent your Primary Beneficiary's relationship to you - Ex. Spouse, Child, Parent, Friend Etc.
    • Social Security Number: Enter your Contingent your Primary Beneficiary's Social Security Number 

    Signature

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    • By selecting "sign" and entering a digital signature this will complete your submission of this form.

    Contingent Beneficiary - This is the alternate beneficiary, used only if the Primary Beneficiary is unable to claim the life insurance payout

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    • 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

    Image Added

    • By selecting "sign" and entering a digital signature this will complete your submission of this form.


    Excerpt


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    titleRSLI Voluntary Life Enrollment Form


    Info

    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: 

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    • Select from the Drop Down menu: "I do not want to purchase additional voluntary life insurance coverage."

    Electing Voluntary Life Coverage:

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    • 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

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    • 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

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    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

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    titleRSLI Voluntary Life Enrollment Form
    Info

    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: 

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    • Select from the Drop Down menu: "I do not want to purchase additional voluntary life insurance coverage."

    Electing Voluntary Life Coverage:

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    • 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

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    • 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

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    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

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    • 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).  
    • spouse  
    • Select Enroll/Decline per your preference
    • Note: you may elect up to
    $10
    • $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. 



    UI Expand
    titleEmergency Contact and Release of Information Form


    Info

    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

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    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

    Info
    titleRelease 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: 

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    • 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: 

    Image Added

    UI Expand
    titleEmergency Contact and Release of Information Form
    Info

    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

    Image Removed

    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

    Info
    titleRelease 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: 

    Image Removed

    • 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: 

    Image Removed

    • 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): 

    Image Removed

    Please fill in the required fields:

  2. Full name: First Name Last Name
  3. Relationship: Spouse, Parent, Sibling, Friend, Etc
  4. Address:
  5. City:
  6. State:
  7. Zip Code:
  8. Email Address:
    9. 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 you would like to release information to additional individuals"

    Signature

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    • By selecting "sign" and entering a digital signature this will complete your submission of this form.
    UI Expand
    titleAdditional Questions
    • . 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): 

    Image Added

    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

    Image Added

    • By selecting "sign" and entering a digital signature this will complete your submission of this form
    Info

    This form contains a few additional questions that will help Employment Services fully process your hire. 

    Hire Date Information

    You may be asked about your expected hire or any expected changes before your hire. Please answer according to your knowledge when filling out the form. This is not used to process your hire, but to inform us on if we may need additional forms. You may receive further forms or follow up from Employment Services. Please be sure to check your Reliant email for that communication. 

    Auto Insurance

    Our insurance carriers require us to verify that associates and employees are covered by auto insurance. See the available options for submitting that information.

    Employment Location

    Based on where you will be working, you may need to pay state or local taxes. Based on your response, you may receive further forms or follow up from Employment Services. Please be sure to check your Reliant email for that communication. 

    Commissioning or Ordination

    If you are ordained or commissioned, please see: Working with Reliant as a Commissioned or Ordained Minister for more details on what steps need to be taken should you choose claim your religious worker status with Reliant. you may choose to start that process with your initial paperwork, or wait until closer to your hire. 

    Cafeteria Form

    If you would like to select Vision Coverage, Child-Care Benefit deductions, or HSA payroll deductions, please fill out the Cafeteria Plan Enrollment Form - 2021
    • .



    UI Step

    Click "Completefinish"

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    UI Step

    Reliant will review the paperwork and notify you should we need corrections or additional paperwork.


    UI Step

    Once the forms have been verified as complete, you will receive an email with all completed forms attached as PDF's.


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