FULL   TIME   EMPLOYEE

EMPLOYMENT    INFORMATION

<Company> completes this form
***Employee Set Up/Change Form
***Confidential Information/HR

Complete 1^st day of employment.
Forward to Accounting.
Keep on file.

IN

OUT

DESCRIPTION

COMMENTS

401-K Plan Information

Eligible After 90 Days…CU Date (60 days)

Health Insurance & Enrollment Form

Eligible After 90 Days…CU Date (60 days)

Dental Insurance Info & Enrollment Form

Eligible After 90 Days…CU Date (60 days)

Automatic Deposit Authorization

Forward to Accounting.  Keep on file.

Credit Card & Travel Guidelines

Employee signature required. Copy to employee.  Keep on file.

Disability Insurance & Enrollment Form

Forward to Accounting.  Keep on file.

Employee Time Report Form

Turned in on or by Pay Day

Employment Agreement

Keep on file. Give copy to Employee.

Expense Report Form

Forward to Accounting when completed.

I-9 Form w/Instruction Sheet

Keep on file.

Paycheck – 1^st one issued on __________.

Payroll Deduction Authorization Form for use of the <Company> Gym

Forward to Accounting.  Keep on file.

Release of Liability Form (Gym use)

Keep on file.

Personal Data Sheet

Keep on file

Phone Extension List

Phone System Instructions

Premium Only Plan Information

<Company> Benefits Information Sheet

<Company> Challenge

<Company> Product Literature

Tornado/Fire Emergency Plan

Vacation Request Form

W-4 Form

Keep on file

General Non-Disclosure Agreement

(Only IF needed—pre-employment discussions.)