Employee Profile Employee Status New Hire Active Employee Change Rehire EMPLOYEE INFORMATION Name on Social Security Card * First Name Last Name Hire Date MM DD YYYY Date of Birth MM DD YYYY Social Security Number Employee Time Card Numbeer Position Department Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### Email * PAY INFORMATION Pay Rate Pay Type Hourly Salaried Exempt Salaried Non-Exempt Commission Piecework TAX INFORMATION FEDERAL TAXES Federal Filing Status Single Married Head of Household Number of other exemptions Number of qualifying children under 17 years old Extra money amount to withhold STATE TAXES State Filing Status Single Married Head of Household Number of other exemptions Number of qualifying children under 17 years old Extra money amount to withhold Thank you!
