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Empolyee Resources


Employee Tax Forms - The following three forms should be faxed or emailed to these two parties with a copy of a voided check: 

1. Tara L Jeziorski at Paychex

Fax - (866) 259-4638 Email - Use Business Name Connecticut PDD and Client #DF84

2.  The Vogl Program

Fax - 800-664-5812 Email -

Federal W-4 2013

CT State 4-4 2013

Direct Deposit Form


The Following forms need to be mailed to the corresponding addresses listed on the forms and below with a copy faxed to 800-664-5812.

Child Protective Service Form

Address to send - DCF Hotline Background Checks. 505 Hudson St. Hartford, CT 06106


Police Background Check

Address to send - DESPP-SPBI 1111 Country Club Rd. Middletown, CT 06457-2389.

You will need to add a $50 check to this form. New employees will be reimbursed in their first check by adding this with their emailed mileage and existing employees will be reimbursed in their next check by doing the same.




HEARTSAVER CPR AED FIRST AID COURSE - (Course listed exactly as typed here)

Go to link: and look up next class possible. Then email Krissy at and CC Andrew at


DCF - Statement of Experience


Abuse and Neglect Policy

Abuse and Neglect Training Form


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