Onboarding/Orientation Checklist

Employee Name (printed) / Title / Hire Date
Employee Handbook:[
-If a hardcopy of the handbook is provided in lieu of electronic access, all documents contained within the links must also be provided.
Benefits – Health/Life: [ ] / Enrollment deadline (35 days from date of hire)
  • Kentucky Employees’ Health Plan Benefits Selection Guide
  • Go to the KEHP website at kehp.ky.gov to view the Summary of Benefits and Coverage (SBC) and the Summary Plan Descriptions (SPDs) for all plan options
  • Kentucky Group Life Insurance Plan/Coverage Booklet (Nationwide Life Insurance Company)
  • Notice: New Health Insurance Marketplace Coverage Options and Your Health Coverage
  • Optional Insurance/Payroll Deduction Program Information [

Direct Deposit: [ / Enrollment deadline (by pre-payroll run date of their first pay)
  • Direct Deposit and Electronic Salary Statement Policy Information
  • Direct Deposit: Bank Account or Payroll Card – Information and Account Options Guide
  • Direct Deposit Enrollment Instructions and Form* (employee to complete if requesting payroll card or not self-enrolling with a bank account via ESS)
  • Direct Deposit - Answers to Frequently Asked Questions
  • Guide to Accessing and Understanding the Electronic Salary Statement

Emergency Procedures (Agency specific)
Employment Eligibility Verification Form I-9*
Federal Tax Form W-4* [Available electronically through ESS-
FLSA Exempt Form (completed and signed by supervisor once the position is tested)
  • (FLSA) Overtime Compensation Election form* (if applicable)

KECC Pledge Form (voluntary)[
KHRIS ESS- Introductory Guide/Tutorials [
KHRIS Work Schedule Request Form* (if applicable)
Outside Employment Form* (if applicable)
Payroll Deferral Information (if applicable) [ ]
  • Copy of Employee Notification Letter
  • Q&A

Position Description
Previous Qualifying Service Certification*
State Tax form K-4*[Available electronically through ESS-
Tobacco-Ban Policy Acknowledgement Form*(
Training: Accurate Time Reporting and Security Awareness (includes Acknowledgement forms). Both are available online (and in print) at
* Bolded blue items represent forms for completion.
Note: This listing does not contain all agency specific information. If additional items are necessary, the agency can supplement this listing as necessary.

I acknowledge that I have received, reviewed and/or completed the above listed information.

Signature / Date

PC/DHRA/DEM

Jan 2015