New employee

***Please note: Any information submitted after 2PM EST is not guaranteed to be reflected on the next day’s timesheet.

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Company ID*
Is this employee a rehire?*
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Employee Number - If not known please leave "N" in the box.*
Last Name*
First Name*
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Address 1*
Address 2
City*
State*
Zip Code*
County of Residence as of Jan 1 (or first day of residence in Indiana) of CURRENT YEAR*
SSN*
Salary*
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Gender
Farm Worker?*
Department Listing*
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Department Number*
Hire Date*
MM/DD/YYYY
Birth Date*
MM/DD/YYYY
Hourly Rate*
Salary Per Pay Period*
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Sort Alf*
Internal Employee ID/Number*
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Misc Amt 3 - Hide from Gsheet*
State to be used for Withholding*
State where employee is physically located when most of their work is performed*
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Craft*
E-mail address*
Direct Deposit Option*
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Dept 1 Number*
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Dept 1 Rate*
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Dept 2 Number*
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Dept 2 Rate*
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Dept 3 Number*
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Dept 3 Rate
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Dept 4 Number*
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Dept 4 Rate
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Dept 5 Number*
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Dept 5 Rate*
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Dept 6 Number*
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Dept 6 Rate*
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Dept 7 Number*
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Dept 7 Rate*
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Dept 8 Number*
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Dept 8 Rate*
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Dept 9 Number*
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Dept 9 Rate*
Primary Direct Deposit Routing*
Primary Direct Deposit Account*
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FUTA Exempt*
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SWH Status
State Withholding Allowances
INWH-4 Line 6 - Additional Exemption for each qualifying dependent
INWH-4 Line 7 - Additional Exemption for each qualifying dependent claimed for the first time
INWH-4 Line 8 - Additional Exemption for each adopted qualifying dependent
State Withholding Additional Amount
INWH-4 Line 10 - County Withholding Additional Amount
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SUTA Exempt*
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E - w2 Y*
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eStub rcve - Y if routing >0*
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Setup Date
Full Time or Part Time?*
SOC Code (6-digits) for Indiana, Alaska, Louisiana, South Carolina, Washington, West Virginia Employees Only*
Don't know your SOC code? Copy and paste this link in a new window, scroll down, and type in job title: https://siccode.com/soc-code-lookup-directory
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Post 19 W-4*
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Box 2c W4
W-4 Federal Withholding Status*
***IRS W-4 instructions indicate to complete the following steps ONLY if they apply to you***
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***IRS W-4 instructions indicate: Complete this step ONLY if it applies to you***
W-4 Step 3: Claim Dependents - Number of qualifying children under 17
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***IRS W-4 instructions indicate: Complete this step ONLY if it applies to you***
W-4 Step 3 Claim Dependents - Number of other dependents
W-4 Step 3 Claim Dependents
Multiply the qualifying children under age 17 by $2000 and multiply the number of other dependents by $500 and enter the total here.
W-4 Step 4(a): Other income (not from jobs)
W-4 Step 4(b): Deductions
W-4 Step 4(c) Extra Withholding each PAY PERIOD
Elected Official?*
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Divison
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Single?
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Married?
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Head of Household?
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W-4 Step 2c?
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Today's Date
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Business Name*
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Business Email*
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Business Address 1*
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Business Address 2*
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Business City*
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Business State*
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Business Zip*
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Entry ID from Enroller
Unique ID from Invitation
Website Terms of Use*
- I agree to: Website Terms of Use.

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New Employee

***IRS W-4 instructions indicate to complete the following steps ONLY if they apply to you***

Need professional payroll services?

IRS W-4 instructions indicate to complete the following steps ONLY if they apply to you