Payroll Setup Form HR
Payroll Setup Form
Personal Information
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Employee Information |
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Name: |
[Your Name] |
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Address: |
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Email: |
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Phone Number: |
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Date of Birth: |
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Social Security Number: |
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Gender: |
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Marital Status: |
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Employment Details
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Description |
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Job Title: |
Product Manager |
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Department: |
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Work Location: |
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Employment Type: |
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Work Schedule: |
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Employment Start Date: |
Payment Information
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Description |
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Bank Name |
First National Bank |
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Account Number |
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Routing Number |
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Payment Frequency |
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Deductions
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Description |
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Pre-Tax Deductions |
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Retirement Contributions: |
5% of salary |
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Health Insurance Premiums: |
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Post-Tax Deductions |
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Union Dues: |
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Charitable Donations: |
Benefits Information
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Description |
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|---|---|
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Health Insurance |
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Plan Type: |
PPO |
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Dependents Covered: |
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Retirement Plan |
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Participation: |
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Emergency Contact Information
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Description |
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Name: |
[Nan Pacheco] |
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Relationship: |
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Phone Number: |
Signature and Date
Employee Signature: ________________________
Date: [September 21, 2078]
Employee Handbook Acknowledgment
I acknowledge that I have received and reviewed the company's employee handbook.
Please ensure that all fields above are properly filled out. Once you are finished, please submit this form to the payroll department.
