New Employee Or Change Employee Information Form printable pdf download

New Employee Or Change Employee Information Form

NEW EMPLOYEE OR CHANGE EMPLOYEE INFORMATION FORM

ADD A NEW EMPLOYEE TO PAYROLL (Complete all information, except File #, and

attach required forms)

Check One

CHANGE AN EXISTING EMPLOYEE (Complete name, Soc Sec #, File #, work location

and any changes to information currently in use)

EMPLOYEE

NAME

SOC SEC # __ __ __ /__ __ /__ __ __ __

File # __ __ __ __ __ __

Employee Address

Email Address

Employee Home Phone

(

)

WORK LOCATION

Job Title

Forms attached

I-9 (Employment Eligibility)

W-4 (Federal)

K-4(IT-4) (State)

Acceptance Form

Direct Deposit (All regular employees)

Diocesan Pension Forms (eligible new employees)

All forms must be received for a new employee before the new employee can be processed

New employee must have passed a background check and completed VIRTUS requirements

Forms available: / all diocesan offices / finance / payroll & benefit forms

Salary Information:

(Complete either semi-monthly salary OR hourly rate. Do not complete both)

Semi-monthly Salary Rate (Salaried school employees see pay options below)

Hourly Rate (Number of Hours to be called in for each pay date)

(Contact the Payroll Office (392-1557) if you have any questions about entering salary information)

If the employee is a salaried school employee (other than a contracted teacher), does he/she opt to be paid:

20 equal semi-monthly payments September through June

employee initials

24 equal semi-monthly payments September through August

employee initials

24 equal semi-monthly payments July through June

employee initials

Work Schedule: Employee is (check one)

Full-time

Part-time

(if part-time, Full-Time Equivalent %

% )

(Mark Y or N)

At least 21 years of age

Expected to work at least 15 hours per week

Expected to work at least 5 months per year

Hire Date

First Pay Date

Pay Rate Effective Date

Signature of Pastor or Principal

Date

(MAKE A COPY FOR YOUR RECORDS)

OFFICE USE:

Rec'd

File #

1st pay

Revised 08-25-2015

New Employee Or Change Employee Information Form

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