Ohio Rate Information Form

Ohio Rate Information Form

For questions, please contact Morning Sun Financial Services at 1-844-450-5444
Select Role
Click the print icon in the top right corner to print.

Ohio Rate Information Form

For questions, please contact Morning Sun Financial Services at 1-844-450-5444
The Employer/Participant must approve this completed form before Morning Sun can enter your employees pay rate.
Participant Legal Name

Legal First NameLegal Last Name
Employee Legal Name

Legal First NameLegal Last Name
Employee Email
example@example.com
Case Manager Legal Name

Legal First NameLegal Last Name
Case Manager Email
example@example.com
Employer Legal Name

Legal First NameLegal Last Name
Employer Email
example@example.com
What type of employee does this apply to?
New Employee rate of pay per hour
Effective Date

MonthDayYear
Date
Signatures

I understand and accept that my electronic signature will be as valid as a handwritten signature and considered original to the extent allowed by applicable law. Please see the Consumer Consent Disclosure at https://www.jotform.com/consumer-consent-disclosure/
Employee Legal Name

Legal First NameLegal Last Name
Employee Signature
Date of Signature

MonthDayYear
Date
Employer Legal Name

Legal First NameLegal Last Name
Employer Signature
Date of Signature

MonthDayYear
Date
Case Manager Legal Name

Legal First NameLegal Last Name
Case Manager Signature
Date of Signature

MonthDayYear
Date
Should be Empty:

Signatures