The following forms are available online to employees of Alpha Omega Health, Inc. For questions about these forms or to request additional forms, contact the Corporate Human Resources Department at 1-800-525-5298.

• Direct Deposit Request Form
Use this form to request direct deposit.

• W-4 Federal Employee Withholding Allowance
Use this form to change filing or exemption status for Federal tax withholdings.

• NC-4 North Carolina Employee Withholding Allowance
Use this form to change filing or exemption status for NC State tax withholdings.

• Fair Credit Report Act/Employee Rights
Describes employees' rights regarding Criminal Background and Credit Checks when used in employment selection process.

• Request for Time Off

• Personnel Action Form
Use this form to change name, address, phone, or emergency contact information.

• Employee Rights under The Family and Medical Leave Act

• Procedures for Filing an Employee Grievance

• Health Insurance Change Form
Use this form to make change reguests to your health insurance with Alpha Omega Health, Inc. All requests must be submitted to the Corporate Human Resources Department for approval.

• Medical Claim Form
Use this form for insurance medical claims outside the approved network of providers.

• List of Look Alike Sound Alike Drugs
This is a the most current Joint Commission approved list of Look Alike/ Sound Alike drugs.

• Alpha Omega Prohibited Abbreviation List
This is a the most current Joint Commission approved list of Prohibited Abbreviations.