Johnstone Supply Anaheim, Laguna Hills, Long Beach & Santa Ana

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  • Internal Forms
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PreEmployment

Application for F/T or P/T

Employment Application

Paycheck

Updates to your Paycheck

Automatic Payroll Deposits

Direct Deposit Form

Withholdings

IRS W4

Insurance

Contact Kathleen if you need to add dependent coverage - additional forms are required

KAISER enrollment or updates

Kaiser Permanente

*Open Enrollment month > December

United Healthcare PPO enrollment or updates

United Healthcare

*Open Enrollment month > February

Dental enrollment or updates

Delta Dental

List of Providers (PPO)

*Open Enrollment month > February

Vision

Enrollment Form

List of Providers

*Open Enrollment month > April

Guardian Life & Disability Insurance

Beneficiary Coverage

Coverage Information

Summary of Benefits

Health Insurance Waiver

Declining Health Insurance Coverage

401k Forms

Download forms and email them to kathleenc@johnstoneoc.com

401k Enrollment (pdf)Download
401k Beneficiary Designation (pdf)Download
401k Loan Request (pdf)Download
How to Access AF (pdf)Download

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