Complete the following for your employee file:
For Office Use Only: Notify Timekeeping and Payroll of new employee;Deliver completed packet to Payroll
Illinois Withholding Allowance Worksheet -STEPS 1 AND 2 DO NOT REQUIRE COMPLETION. They are for reference only. Skip to IL-W-4 Employee's Illinois Withholding Allowance Certificate if worksheet not needed.
Use this worksheet as a guide to figure your total withholding allowances you may enter on your Form IL-W-4. Complete Step 1. Complete Step 2 if you (or your spouse) are age 65 or older or legally blind, or you wrote an amount on Line 4 of the Deductions Worksheet for federal Form W-4.
If you have more than one job or your spouse works, your withholding usually will be more accurate if you claim all of your allowances on the Form IL-W-4 for the highest-paying job and claim zero on all of your other IL-W-4 forms. You may reduce the number of allowances or request that your employer withhold an additional amount from your pay, which may help avoid having too little tax withheld.
Step 1: Figure your basic personal allowances (including allowances for dependents)
Step 2: Figure your additional allowances
IMPORTANT: If you want to have additional amounts wihtheld from your pay, you may enter a dollar amount on Line 3 of Form IL-W-4 below. This amount will be deducted from your pay in addition to the amounts that are withheld as a result of the allowances you have claimed.
Illinois Department of Revenue
IL-W-4 Employee's Illinois Withholding Allowance Certificate
I certify that I am entitled to the number of withholding allowances claimed on this certificate.
Check the box if you are exempt from federal and Illinois Income Tax withholding and sign and date the certificate.
Printed by the authority of the State of Illinois PO Number: 2200208 500 copies
This form is authorized under the Illinois Income Tax Act. Disclosure of this information is required. Failure to provide Information may result in this form not being processed and may result in a penalty.
Employer: Keep this certificate with your records. If you have referred the employee's federal certificate to the IRS and the IRS has notified you to disregard it, you may also be requiredto disregard this certificate. Even if you are not required to refer the employee's federal certificate to the IRS, you still may be required to refer this certificate to the Illinois Department of Revenue for inspection. See Illinois Income Tax Regulations 86 III. Adm. Code 100.7110.
Form W-4 Employee's Withholding Certificate
Department of the Treasury Internal Revenue Service
Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay. Give Form W-4 to your employer. Your withholding is subject to review by the IRS. Worksheet for reference if needed.
Does your name match the name on your social security card? If not, to ensure you get credit for your earnings, contact SSA at 800-772-1213 or go to www.ssa.gov.
Complete Steps 2-4 ONLY if they apply to you; otherwise, skip to Step 5. See page 2 for more information on each step, who can claim exemption from withholding, when to use the estimator at www.irs.gov/W4App and privacy. Complete this step if you (1) hold more than one job at a time, or (2) are married filing jointly and your spouse also works. The correct amount of withholding depends on income earned from all of these jobs. Multiple Jobs or Spouse Do only one of the following. Works (a) Use the estimator at www.irs.gov/W4App for most accurate withholding for this step (and Steps 3-4); or (b) Use the Multiple Jobs Worksheet on page 3 and enter the result in Step 4(c) below for roughly accurate withholding; or (c) If there are only two jobs total, you may check this box. Do the same on Form W-4 for the other job. This option is accurate for jobs with similar pay; otherwise, more tax than necessary may be withheld
TIP: To be accurate, submit a 2021 Form W-4 for all other jobs. If you (or your spouse) have self-employment income, including as an independent contractor, use the estimator.
Complete Steps 3-4(b) on Form W-4 for only ONE of these jobs. Leave those steps blank for the other jobs. (Your withholdingwill be most accurate if you complete Steps 3-4(b) on the Form W-4 for the highest paying job
Add the amounts above and enter the total here
(c) Extra withholding. Enter any additional tax you want withheld each pay period
EmployersEmployer's name and address Only
Employment Eligibility Verfication USCIS
Department of Homeland Security FORM I-9
U.S. Citizenship and Immigration Services
START HERE: Read instructions carefully before completing this form. The instructions must be available, either in paper or electronically, during completion of this form. Employers are liable for errors in the completion of this form. ANTI-DISCRIMINATION NOTICE: It is illegal to discriminate against work-authorized individuais. Employers CANNOT specify which document(s) an employee may present to establish employment authorization and identity. The refusal to hire or continue to employ an individual because the documentation presented has a future expiration date may also constitute illegal discrimination.
Section 1. Employee Information and Attestation (Employees must complete and sign Section 1 of Form I-9 no later than the first day of employment, but not before accepting a job offer
Aliens authorized to work must provide only one of the following document numbers to complete Form I-9: An Alien Registration Number/USCIS Number OR Form I-94 Admission Number OR Foreign Passport Number.
QR Code Section 1 Do Not Write In This Space
I hereby voluntarily authorize Senco Construction Inc to direct deposit my pay check into my account(s) at the financial institution(s) named below. Further, I agree not to hold Senco Construction Inc responsible for any delay or loss of funds due to incorrect or incomplete information supplied by me or by my financial institution or due to an error on the part of my financial institution in depositing funds to my account.
This agreement will remain in effect until Senco Construction Inc receives a written notice of cancellation
from me or my financial institution, or until 1 submit a new direct deposit form to the Payroll Department.
John and Mary Jones 133 Main Street Anytown. MI 4SSSS
PLEASE ATTACH VOIDED CHECK FOR EACH ACCOUNT
I: 072412345 i: 0012300456' 1234
If you change or close an account you must notify payroll as soon as possible.
The purpose of this indoctrination is to inform new employees of the basic safety rules and regulations that they must follow. Employees must understand what safety equipment they will will be required to use, and how to utilize it properly. Specialized training and equipment may also be required, depending on the scope of the work that the employee will be performing.
in addition to the basic safety rules and regulations, there are additional policies specific to SENCO Construction Inc. that must be read and understood prior to beginning work with this company. This includes SENCO Construction Inc. "Disciplinary Policy", SENCO Construction Inc. "Affirmative Action Policy".
You must first read the contents of this "New Employee Indoctrination" packet. After reading and understanding the contents, you will be required to provide your signature and the date which you signed. Failure to provide your signature will result in ineligibility to work for SENCO Construction Inc. Employee questions are encouraged in order to provide new employees with as much useful information as possible. It is your responsibility to report any unsafe acts or conditions to your supervisor or to the safety department.
You may NOT have any of the following items in your possession or in your vehicle while it is on Marathon property:
If you lose your scan card, it will cost YOU $10 to replace it.
PERSONAL PROTECTIVE EQUIPMENT
The following personal protective equipment (PPE) will be required while performing work for SENCO:
It is the responsibility of the SENCO Safety Dept and SENCO Supervision to ensure that employees understand any safety policies that apply to them.
It is the employee's responsibility to ensure they are working in a safe manner, and to ensure that other workers in their crew are doing the same.
Any employee action that creates a safety hazard to himself/herself or any other person or property is considered a safety infraction. A safety infraction as well as any violation of SENCO's Safety Policies, MPC SOPs and/or Federal, State or Local regulations may result in disciplinary action.
***If the infraction has potential to, or does result in harm to himself/herself, another employee or property, any infraction may result in termination. SENCO Management and Safety Department reserves the right to terminate any employee at any time if they believe that they are performing their work in an unsafe manner.
As an employee, you have the right to know what chemicals and hazards exist in your work area. You should be familiar with the HAZCOM standard. A list of all hazardous chemicals and SDSs are available to you at your request. A copy of SENCO Construction Inc. Hazard Communications Program is available to you at any time. You must be aware of the physical and health hazards associated with hazardous chemicals in your work environment, and the measures and PPE available to you to protect yourself from these hazards. You must also be able to read and understand an SDS. Employees must also have an understanding of container and hazardous chemical labeling.
SENCO Construction Inc. ensures equal opportunity of employment in all aspects of employment, and prohibits discrimination on the basis of sex, religion, race or color, or national origin.
All employees must understand that sexual harassment and other inappropriate behavior will not be tolerated by SENCO Construction Inc. You have the ultimate responsibility to refrain from such actions, and to report any such behavior directed toward yourself or another employee. The SENCO Construction Inc. Affirmative Action Mission Statement and Policy Regarding Sexual harassment in Employment are available to you at any time.
Weapons used for hunting, personal protection, or other uses are banned on the premises of the Marathon Petroleum LLC refinery property, including vehicles parked in parking lots on MPC property. This includes all firearms with or without ammunition, bows with or without arrows, and knives with blades longer than 4 inches. MPC reserves the right to search any vehicle or person at any time while on their premises. If you or your vehicle is found in possession of any of these items,you will be subject to MPC's disciplinary policy, and will be escorted from MPC property, and banned from the premises for a period of a minimum of one (1) year. Depending on the seriousness of the situation, you may be banned permanently.
Weapons used for hunting or fishing purposes only are permitted inside of personal vehicles located in SENCO's South parking lot. The SENCO Safety Department must be notified prior to bringing any weapon on SENCO property. These weapons must be kept inside of the vehicle at all times. Other weapons are not permitted on the premises. Violation of this policy will result in disciplinary action up to, and including termination. SENCO reserves the right to search all personal items and vehicles, as well as, SENCO owned items and vehicles entering and leavingthe SENCO premises. SENCO is not liable for lost or stolen property.
SENCO reserves the right to perform searches of employees, customers, vendors, and vehicles entering, leaving, or parking on SENCO property for illegal drugs paraphernalia, weapons, and stolen property. SENCO also reserves the right to search any employee's office desk, files, lockers, computers, and office files on our premises. These items are the property of SENCO. Inspections may be conducted at any time at the discretion of SENCO.
COMPLIANCE WITH MARATHON PETROLEUM POLICIES
SENCO employees working for SENCO on Marathon Petroleum Company premises are subject to all MPC policies and SPs. These SPs are available to you, from MPC or SENCO, should you wish to review them at any time. Some policies of interest may include, but are not limited to:
As mentioned earlier, MPC reserves the right to search any person or property while on their premises. Violations of MPC's policies will result in disciplinary action, which may include termination, as well as being banned from MPC premises for a minimum of one (1) year, up to life. You will be informed of many MPC's policies during your orientation process prior to beginning work for SENCO on MPC property. In addition to the weapons policy mentioned above, alcoholic beverage containers (full or empty), and illegal drugs and/or paraphernalia are not permitted on MPC premises under any circumstances.
Life Critical Safety Rules are now in effect. All employees and contractors at the IRD have had adequate time to be trained.
There is enhanced focus on Life Critical Safety Rules for these topics:
Any violation of one of the Life Critical Safety Rules should be stopped immediately to ensure the safety of the employee or contractor.
Any violations and discipline (including coaching and/or counseling) of the Life Critical Safety Rules must be communicated to the IRD Human Resources for tracking purposes.
The expectation is all contract companies will reinforce at regular intervals the expectations regarding the Life Critical Safety Rules to their employees.
It is the policy of SENCO Construction Inc. that all employees are employed at the will of the company.
Employees may resign from the company at any time for any reason and may be terminated by the company at any time for any reason, with or without notice.
WORK AND PAY SCHEDULE
You will be informed of your work schedule when you report to work for SENCO Construction Inc. The pay period begins on Monday and concludes on Sunday. You will receive your check the following Wednesday for the previous week's work.
All employee grievances should be reported to SENCO Management. Employee complaints will be addressed by management in a confidential manner. Reporting grievances will not result in disciplinary action toward the reporting employee.
You will be required to attend a weekly safety meeting conducted by the SENCO Safety Department. In addition to the weekly meeting, you are expected to participate in a daily tool box meeting with your immediate work group as well as SENCO Construction's daily stretching program. This will be conducted by the job foreman the the beginning of each shift.
By signing below, you acknowledge that you have received and will follow all of the information provided to you in the SENCO Construction Inc. "New Employee Indoctrination", and that failure to comply with these policies will result in disciplinary action or possible termination.
understand and agree that:
I understand that access to information obtained under this policy is limited to those who have a legitimate need to know in compliance with relevant laws and management policies. SENCO may use information obtained under this Policy to support, explain, or defend any employment decision or action taken with regard to that employee including, but not limited, defending against any claim for unemployment benefits by the employee.
I understand that my failure to honor all the terms of this certificate is ground for immediate termination of my employment.
The statements contained in the SENCO CONSTRUCTION INC. DRUG-FREE WORKPLACE POLICY are intended to serve as general information concerning SENCO CONSTRUCTION INC. and its existing policies, procedures, and practices.
Nothing contained in the SENCO CONSTRUCTION INC. DRUG-FREE WORKPLACE POLICY is intended to create, nor shall be construed as creating, an expressed or implied contract of employment or guarantee of employment for the definite or indefinite terms.
From time to time SENCO CONTRUCTION INC. may need to clarify, amend, and/or supplement the information contained in the Drug and Alcohol Policy. The company will inform me of these changes.
I understand that I will not be compensated for any time, including show up time, for any time awaiting laboratory drug testing results following a positive or invalid instant test that results in a confirmed positive test by the MRO.
Please list Authorized Substances prescribed by your physician:
BACKGROUND CHECK INFORMATION
In connection with your application for employment, application to serve as a contractor, or in connection with your continued employment or continued service as a contractor with SENCO Construction, Inc. (“SENCO”), you understand that SENCO may request information regarding you and your motor vehicle record from the state department of motor vehicles, or similar state agency (e.g. Illinois Secretary of State), which issued you your current drivers license. You understand that your motor vehicle record may include information that identifies you, including your photograph, social security number, driver identification number, name, address, telephone number, medical or disability information, and driving record (“Motor Vehicle Record”). You understand that SENCO has contracted with S2Verify of Roswell (Atlanta) Georgia to obtain your Motor Vehicle Record.
By signing below you hereby authorize SENCO directly, and through S2Verify, to obtain your Motor Vehicle Record from the state agency which issued you your current drivers license. You hereby authorize and request, without any reservation, that the state agency which issued you your current drivers license to furnish to SENCO and S2Verify your Motor Vehicle Record. You understand and agree that SENCO may use your Motor Vehicle Record for employment purposes.
SENCO Construction, Inc
Fair Credit Reporting Act
Disclosure and Authorization
In connection with your application for employment, application to serve as a contractor, or in connection with your continued employment or continued service as a contractor with SENCO Construction, Inc. (“SENCO”), consumer reports may be obtained on you for employment purposes.
By signing below, you hereby authorize SENCO to procure consumer reports about you which SENCO may use for employment purposes. In particular, you authorize SENCO to obtain consumer reports about you from consumer reporting agencies including, but not limited to, S2Verify of Roswell (Atlanta) Georgia (“S2Verify”).
I hereby acknowledge and agree that the Safety Council of Texas City (herein referred to as SCTC) has a legitimate business need to verify my identity before I can be issued a Council badge which indicates, by virtue of its existence, that my identity has been verified. I understand that by providing authorization to SCTC and partner consumer reporting agencies, to process a verification of my Social Security Number, I shall not be issued a badge from SCTC if the verification process fails to identify me as the proper holder of the Social Security Number I submit below.
I authorize and instruct SCTC and partner consumer reporting agencies, to verify my identity throughconsumer reports and social security number information and I am providing this as my written instruction and authorization to SCTC and partner consumer reporting agencies to verify my identity through consumer reports and social security number information. I understand that I have the right to request of partner consumer reporting agencies, upon proper identification and the payment of any legally permissible fees, for the information in its files on me at the time of the request.
By my signature at the bottom of this form, I authorize my employer to submit this form on my behalf to the Safety Council so that my verification can proceed as if I was at the Safety Council signing this authorization.
Please submit form to: Safety Council of Texas City P.O. Box 2759 * 3300 FM 1765 * Texas City. TX 77592 Fax (888) 457-5444