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EMPLOYEE INFORMATION SHEET

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EMPLOYEE INFORMATION SHEET Powered By Docstoc
					                            *Remember to keep your records up-to-date with us, so that your payroll & tax info is sent out correctly.
                                    ** Once you start working, please send us your work e-mail and phone number, if applicable.
                                                                                                          Form Updated: 7/3/2006




                                  MANDATORY EMPLOYEE INFORMATION SHEET
                                       Send VIA Fax to 954-493-8844 or email to payroll@expertsit.com

*PLEASE PRINT CLEARLY OR TYPE:
Your Contact Information:

Full Name (First Middle Intl. Last):

Street Address & Unit #:

City, State & Zip Code:

County:

Home Number:

Mobile Number:                          ____________________________________________________

Email Address:                          ________________________________________________

Paycheck Preference (Check one box):

          □         Direct Deposit (attach form and voided check)
          □         Manual Check – Please note that the checks are sent via US Mail and we can not guarantee the
                    delivery date of your pay check. For example, in some parts of the country (i.e. – the DC area)
                    it may take about a week until the check arrives.

401(k) Enrollment (Check one box):

          □         Yes       I am interested in enrolling and/or receiving information about The Experts’ 401(k)
                              Retirement Savings Plan through John Hancock. (We will mail you a comprehensive
                              package).
          □         No        I am not interested in enrolling in The Experts’ 401(k) Retirement Savings Plan.

Emergency Contact Person:

Name & Relationship:

Address:



Phone Number(s):


Employee Signature:                     X _______________________________________________________


Effective Date: ___________________                      □    New Employee           □    Updated contact info

				
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posted:7/26/2011
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