Remote New Hire Notice Form Page 2

REMOTE NEW HIRE NOTICE FORM

EMPLOYEE INFORMATION:

Name:

Last _______________________________ First _________________________M.I. ____

Date of Birth __________________

EMPLOYEE’S HIRING DEPARTMENT CONTACT INFORMATION – to be completed by the Hiring

Manager only.

Contact Name: ______________________________________________

Contact Title: _________________________________________________________

Contact Phone Number: ( __ )__________________

EMPLOYEE’S DATE OF HIRE __________________

(THIS DATE MUST BE ENTERED INTO THE CERTIFICATION SECTION OF THE I-9 FORM BY THE

AUTHORIZED AGENT).

_______________________________________________________ ______________________

DEPARTMENT CONTACT SIGNATURE

DATE

THIS FORM MUST BE COMPLETED AND GIVEN TO THE AUTHORIZED AGENT BEFORE THE I-9 FORM

IS COMPLETED.

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Parent category: Legal