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New Employee Information

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Employment *
New Hire
Previous Name (if applicable)
Employment Data
Job Title *
BI
Date of Hire *
01012024
Rate of Pay *
20
Status *
Hourly
Status *
Full-time
Personal Data
Street Address *
test
City *
test
State *
ca
Zip Code *
90501
Cell Phone Number *
310555-5555
Personal E-Mail Address *
crytx29@gmail.com
Date of Birth *
01/02/020
Emergency Contact Information
Name *
test
Relationship *
test
Emergency Telephone Number *
310 555-5555
Form Status: Pending

Draw Signature

Date 2024-10-22
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