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Client New Hire
Payrolling
Home
About Us
More Information
Contact Us
Client New Hire
Payrolling
To be completed by client
Requested By
Your Name *
Your Email *
Your Phone Number *
Additional Confirmation Email 1
Additional Confirmation Email 2
Note: An email acknowledging receipt of your request will be sent to you, the Employee Supervisor specified below, and the Additional Confirmation Emails specified above.
Client Company Information
Client Company Division
Hourly Pay Rate
Start Date
Work State
Will the employee have internet access
Yes
Department Number
PO#
Employee Supervisor
Supervisor Email *
Supervisor Phone Number
Description of Job Duties
New Hire Information
First Name *
Last Name *
Middle Initial
Home Telephone *
Cell Phone
Hire Email
Background Check
Drug Test
Yes
Criminal Background Check
Yes
DMV
Yes
Additional Request
(Please Specify)