NEW EMPLOYEE SET UP SHEET
TO: Employee Services
FROM: _________________________________
Client
Name
Attached please find my new employee's paperwork
Employment Data Sheet
Form W-4
Form I-9
The following is information on my employee needed for payroll:
_____________________________________
________________________
Employee
Job Title
________________
$_____________
Full Time Part Time
Hire
Date
Rate of Pay
EMPLOYEE IDENTIFICATION:
I understand all employees must have a completed Form I-9 with two (2) forms of
identification. I have attached either photocopies of the two forms of
identification or a manager or owner of my business has signed the Form I-9
attesting that they have verified the identification and they appear to be
genuine.
MEDICAL BENEFITS:
[ ] Employee
Declination
This employee is either a part time employee or is
declining Health Insurance Benefits. The declination
is attached.
[ ] Employee Requests Health
Insurance This employee is requesting the following type
of
insurance. Please have someone from Employee
Services contact me to discuss the plan options and
required paperwork for coverage. No insurance will
begin until a properly completed enrollment form is
received by the insurance carrier.
[ ] Health Insurance
[ ] Dental Insurance
[ ] Life Insurance