*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 email@example.com
*PLEASE PRINT CLEARLY OR TYPE:
Your Contact Information:
Full Name (First Middle Intl. Last):
Street Address & Unit #:
City, State & Zip Code:
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
□ No I am not interested in enrolling in The Experts’ 401(k) Retirement Savings Plan.
Emergency Contact Person:
Name & Relationship:
Employee Signature: X _______________________________________________________
Effective Date: ___________________ □ New Employee □ Updated contact info