Employee Information Form

ADVERTISEMENT

PUBLIC SCHOOLS BRANCH
EMPLOYEE INFORMATION FORM
To Be Used To Provide New or Changed Information
☐ New Employee
Please check the applicable
☐ Existing Employee -- Employee Number ________________
boxes : (Employee number
☐ change to banking information
required for existing
)
employee
☐ change to name, address, phone number, or e-mail address
VERY IMPORTANT NOTE: IT IS THE RESPONSIBILITY OF THE EMPLOYEE TO ADVISE PAYROLL SERVICES,
IN A TIMELY MANNER, OF ANY CHANGE IN ADDRESS OR BANKING INFORMATION, SO THAT THE
APPROPRIATE CHANGES CAN BE MADE TO THE ELECTRONIC PAYROLL SYSTEM.
PART A:
EMPLOYEE INFORMATION
☐ Regular Employee
☐ Substitute Employee
Employee Type: (check one)
Employee Group: (check one)
Teacher
Educational Assistant
Youth Service Worker
☐ Tutor
Transportation
Maintenance
Branch Office ☐ Other
School Administrative Assistant
Social Insurance Number
______________________________________________
Employee Last Name
______________________________________________
First Name and Initial
______________________________________________
Home Address
______________________________________________
______________________________________________
Postal Code
_____________________
Home Phone Number
____________________________________
E-mail Address (please print) ______________________________________________
I hereby authorize and request the Public Schools Branch to credit my net payroll to my account with the
financial institution specified below.
Signature: _______________________________
Date: ______________________
PART B:
FINANCIAL INSTITUTION DETAILS
To avoid having your bank fill out PART B, simply attach an unsigned cheque clearly marked “VOID.”
Otherwise have your bank fill in the following information.
Branch Transit #: __ __ __ __ __
Bank Code #: __ __ __
Bank Account Number: _______________________
Name of Institution:__________________________________________
Bank Address: ____________________________________________________
This form must be completed by all new regular and substitute employees.
Please return completed form to the Public Schools Branch – Attn: Payroll Services.
~ If you have incurred a change of name or address, please notify Johnson Insurance. ~
~ PEITF members please also notify the Registrar, Department of Education. ~
Personal information on this form is collected under Section 31(c) of the Freedom of Information and Protection of Privacy Act R.S.P.E.I. 1988 c. F-
15.01 as it relates directly to and is necessary for purposes of providing services to employees and will be used for purposes of public schools
operations and administration. If you have any questions about this collection of personal information, you may contact the Public School Branch by
telephone at 902.368.6990, 902.888.8400, or toll free at 1-800-280-7965.
(employee_info_psb.docx - (10/16))

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Business
Go