Personnel Form

for Your State

This Kit is specifically designed for employers, and provides a central record of the hiring, job advancement, and end of employment of any employee.

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The purpose of this form is to provide a central record of the hiring, job advancement, and end of employment of any employee. This form should be completed upon the hiring of any employee and should be periodically updated as required. The following information is gathered on this form:

Name, address, and phone of employee
Social Security number of employee
Date hired and starting salary
W-4 form completion and number of dependents
Any changes in salary
Any changes in job position
Date and reason for leaving employment
Eligibility for rehiring
Signature of employer
Signature of employee upon separation

This form is for use in all states.
Number of Pages2
DimensionsDesigned for Letter Size (8.5" x 11")
EditableYes (.doc, .wpd and .rtf)
UsageUnlimited number of prints
Product number#22085
This is the content of the form and is provided for your convenience. It is not necessarily what the actual form looks like and does not include the information, instructions and other materials that come with the form you would purchase. An actual sample can also be viewed by clicking on the "Sample Form" near the top left of this page.






Personnel Form









This Packet Includes:
1. Information
2. Personnel Form 





Information
Personnel Form

The purpose of this form is to provide a central record of the hiring, job advancement, and end of employment of any employee. This form should be completed upon the hiring of any employee and should be periodically updated as required.  The following information is gathered on this form:

   Name, address, and phone of employee
   Social Security number of employee
   Date hired and starting salary
   W-4 form completion and number of dependents
   Any changes in salary
   Any changes in job position
   Date and reason for leaving employment
   Eligibility for rehiring
   Signature of employer
    

Signature of employee upon separation




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Personnel Form

Employee name  ________________________________________ Social Security number  _________
Address  ______________________________________________ Phone  _____________________

Date hired  __________________  Starting salary ______________ W-4 Form completed ___________   Employee Handbook received  __ Number of dependents__________



Changes in salary                           New salary                             Date begun
_______________         _______________         ______________
_______________         _______________         ______________
_______________         _______________         ______________


Changes in position                        New position                            Date begun
_______________         _______________         ______________
_______________         _______________         ______________


Job reviews                                     Date                                       Status
_______________         _______________         ______________
_______________         _______________         ______________


Separation                                      Date                                      Reason
_______________         _______________         ______________
_______________         _______________         ______________


Laid off  _____________________ Left voluntarily _____________ Discharged for cause ____________  Discharged for lack of work ____ Other ________________________________________________

Eligible for rehire? Yes ___   No ___

__________________________   ________________________ Signature of Employer         Date

__________________________   ________________________ Separation Signature of Employee   Date


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