New Hire Paperwork

First Day of Work *
First Day of Work
Name *
Address *
Date of Birth *
Date of Birth
Phone *
Federal Filing Status *
0 or 1 is most common, plus 1 for each dependant
I'm eligible for Federal "Exempt"
not common!
State Filing Status *
0 for single or married, no dependants
in order to ensure you receive your paycheck as soon as possible we encourage all employees to do direct deposit.
Nine digit number
please triple check this number before submitting
Agreement *
Under penalties of perjury, I declare that I have examined the data being submitted and to the best of my knowledge and belief, it is true, correct and complete
Employee Handbook *
I agree that I have reviewed the handbook available to me at and agree to all conditions set forth within that document.