Scribd Logo
Upload

Welcome to Scribd!

  • 10 views

    Employee Info Form WINDA

    Uploaded by

    Joseph Thomas
    The document is an employee information form that collects personal details like name, address, date of birth, social security number, tax status, direct deposit information and withholding preferences.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Employee Info Form WINDA

    Uploaded by

    Joseph Thomas
    10 views1 page
    The document is an employee information form that collects personal details like name, address, date of birth, social security number, tax status, direct deposit information and withholding preferences.

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The document is an employee information form that collects personal details like name, address, date of birth, social security number, tax status, direct deposit information and withholding preferences.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    10 views1 page

    Employee Info Form WINDA

    Uploaded by

    Joseph Thomas
    The document is an employee information form that collects personal details like name, address, date of birth, social security number, tax status, direct deposit information and withholding preferences.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Employee Information Form

    * Denotes required field

    First Name * MI

    Last Name *

    Address 1 * Gender *
    Male Female

    Address 2

    City * State * Zip *

    Social Security Number * Date of Birth * Date of Hire *


    - - / / / /

    Email Address

    Pay Rate (check one) * Amount * Tax Status (check one) *


    Hourly Salary $ . W-2 1099

    Pay Frequency (check one) *


    Weekly Bi-weekly Semi-monthly Monthly Quarterly

    Federal Filing Status (check one) *


    Single Married Married - at Higher Single Rate Allowances

    Additional Federal Withholdings (check one) *


    Additional Amount Withheld Flat $ Amount .

    Additional % Withheld Flat % Amount .

    State Filing Status (check one) *


    Same as Federal Single Married Married - at Higher Single Rate Allowances

    Additional State Withholdings (check one) *


    Additional Amount Withheld Flat $ Amount .

    Additional % Withheld Flat % Amount .

    Direct Deposit Information


    Bank Routing # * Bank Routing #

    Bank Account # * Bank Account #

    Account Type (check one) * Account Type (check one)


    Checking Savings Checking Savings

    Deposit Amount (check one) * Deposit Amount (check one)


    Full Amount Partial $ . Remainder Partial $ .

    Partial % . Partial % .

    Rev 11/2016 ADP-SBS-EI002


    The ADP logo and ADP are registered trademarks, and ADP A more human resource is a service mark, of ADP, LLC. Copyright © 2016 ADP, LLC ALL RIGHTS RESERVED.

    You might also like