1099 OR W2 Employee form
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Birthdate
SSN ( Social Security Number )
ITIN Number
EIN Number
Hire Date ( Fecha de Contratacion )
Tax Status Please check one
Single
Married
HOH
Check One
Federal # Of Allowance ( Numero De Dependes )
State # Of Allowance ( Numero De Dependes )
Hourly Rate $
Salary ( per pay period ) $
Bank Name
Bank Account Number
Bank Routing Number
Please check here if you are going to get pay with W2 or 1099
W2 Employee
1099 Employee
Company that you are working for- Nombre de la Empresa para la que esta trabajando.
Submit
Should be Empty: