New Hire Summary

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"*" indicates required fields

Client Legal Name*

Please do not include punctuations such as commas or apostrophes.

Location Details

Is this a new worksite address?*

Is this a remote/work from home role?*

Worksite Address*

Street Address Address Line 2 City State ZIP Code

Do you need to add a new time approver for this worksite?*

Time Approver Full Name*

Time Approver Email*

Approver Job Title*

New Hire Details

*Please note that all employee's submitted on one form must be working at the same worksite.*

How Many Employee's are you submitting for onboarding?*

Employee #1

Employee #1 Name*

Employee #1 Email*

Employee #1 Phone*

Employee #1 Home State*

Employee #1 Job Title*

Employee #1 Type*

Attach a Job description if this role is new

Max. file size: 128 MB.

Employee #1 Start Date*

Employee #1 End Date

Employee #1 Pay Rate*

Employee #1 Bill Rate*

Employee #2

Employee #2 Name*

Employee #2 Email*

Employee #2 Phone*

Employee #2 Home State*

Employee #2 Job Title*

Employee #2 Type*

Attach a Job description if this role is new

Max. file size: 128 MB.

Employee #2 Start Date*

Employee #2 End Date

Employee #2 Pay Rate*

Employee #2 Bill Rate*

Employee #3

Employee #3 Name*

Employee #3 Email*

Employee #3 Phone*

Employee #3 Home State*

Employee #3 Job Title*

Employee #3 Type*

Attach a Job description if this role is new

Max. file size: 128 MB.

Employee #3 Start Date*

Employee #3 End Date

Employee #3 Pay Rate*

Employee #3 Bill Rate*

Employee #4

Employee #4 Name*

Employee #4 Email*

Employee #4 Phone*

Employee #4 Home State*

Employee #4 Job Title*

Employee #4 Type*

Attach a Job description if this role is new

Max. file size: 128 MB.

Employee #4 Start Date*

Employee #4 End Date

Employee #4 Pay Rate*

Employee #4 Bill Rate*

Employee #5

Employee #5 Name*

Employee #5 Email*

Employee #5 Phone*

Employee #5 Home State*

Employee #5 Job Title*

Employee #5 Type*

Attach a Job description if this role is new

Max. file size: 128 MB.

Employee #5 Start Date*

Employee #5 End Date

Employee #5 Pay Rate*

Employee #5 Bill Rate*

Pre-Employment Details

What criminal screening Tests are required by this client?*

Which pre-employment drug screen or OHS screenings are requested?*

Additional Details

Partner Details

Form Completed By*

Your Business Name*

Please enter your email to receive a copy of this submission. If multiple emails, please use a semicolon to separate the email addresses*

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New Hire Summary

Location Details

New Hire Details

Employee #1

Employee #2

Employee #3

Employee #4

Employee #5

Pre-Employment Details

Partner Details

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