New Employee Set Up Form printable pdf download

New Employee Set Up Form

One Credit Union Way Suite 208

Randolph, MA 02368

Telephone: 617-298-1000

Facsimile: 781-963-6800

New Employee Set-Up Form

Client # _____

Company Name: ______________________________

Employee Information

Employee ID/Time Card Number: ______________ Employee Name: _____________________________

Social Security Number: ___ - ___ - _____

Circle: Male or Female

Date of Birth: ____/____/_____

Date of Hire: ____/____/_____

Address:___________________________________________________

Street

City

State

Zip

Direct deposit (Attach form and bank documentation)

Wage information

Circle Pay Frequency: Weekly / Bi-Weekly / Semi-Monthly / Monthly

Salary per pay period of $_________ or Per Hour Rate of $ ________

Home Location: ________ Home Department __________

Additional Dept: ________ Rate of Pay $ _____

Taxes

Federal W4 info: Single or Married and #____ of Exemptions - Optional Extra withholding per pay period $______

State Employee Income taxes are withheld from _____

State Employer Unemployment taxes are paid to _____

Single or Married and #____ of Exemptions - Optional Extra withholding per pay period $______

Deductions

Name : ____________________ Amount / Percentage Per Payroll ___________

Benefits

Name : ____________________ Amount / Percentage Per Payroll ___________

Revised 2016-03-07

New Employee Set Up Form