Employee Information Update Form - Forest Hills Public Schools printable pdf download

Employee Information Update Form - Forest Hills Public Schools

Grand Rapids, MI

EMPLOYEE INFORMATION UPDATE

PLEASE PRINT

Name:________________________________________Building:________________________

Employee I.D. (Not SS #) ________________________Position:________________________

COMPLETE FOR NEW INFORMATION ONLY

Name Change*

From:________________________________To:__________________________________

*Must submit updated social security card with new name.

If changes are needed to insurance or beneficiary forms,

contact the Human Resources Department.

COMPLETE FOR NEW INFORMATION ONLY

New Address:_______________________________________________________________

________________________________________________________________

Zip Code:________________________ Phone #:________________________________

Do you need Grand Rapids City Tax withheld?

Yes*

Do you need Walker City Tax withheld?

Yes*

Tax form must accompany this request if Grand Rapids or Walker taxes are to be withheld.

Active Employee

Inactive Employee

Comments:_______________________________________________________________________________

________________________________________________________________________________________

Effective Date For Change:__________________________________________________________________

Signature:________________________________________Date:_________________________

*This form is NOT to be used in place of a W-4 tax form

WEB FORM – DISTRIBUTION BY HR: White/Payroll, Yellow/HR, Pink/Employee Benefits, Green/ Photo File, Blue Technology

P-24 Rev.7/2017

Employee Information Update Form - Forest Hills Public Schools