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Employee Payroll Checklist

    Employee Personal Details

    First Name: (As Per SSN)

    Last Name: (As Per SSN)

    Social Security Number:

    Employee Living Address:

    Gender:

    Date of Birth:

    Marital Status:

    Contact Details:

    Alternative Contact Details:

    Email:

    Work Details

    Job Start Date:

    Job Title:

    Form I-9 Start Date:

    Employment Type:

    Part TimeFull Time

    Immigration Details

    Are You a :

    Are You a Resident of USA:

    Do you have a Working Visa:

    Visa Type:

    Employee Direct Deposit Details

    Bank Name:

    Account Number:

    Bank Routing Number:

    Employee Note:

    Client:

    By:*



    Title:*


    Signature:*


    Mobile:*


    Email:*