All new employees complete and sign Section 1. Local employer representative completes and sign Section 2. (Expires 10/31/2022, updated 10/21/2019)
All new employees 20 years or older working half-time or more in positions lasting 12 months or more – complete and sign.
All new employees complete and sign.
All employees must provide a copy of their social security card to receive a paycheck.
For all new employees to complete or for any employee who wants to change their federal tax withholding exemptions.
For all new employees to complete or for any employee who wants to change their state tax withholding exemptions.
Complete and attach a voided check to request payroll direct deposit.