New Employee Registration Form 2023

DATE OF NEO*
NEO TIME*
Please select one
EMPLOYEE NAME*

PrefixFirst NameLast Name
Employee ID #
Employee Action*

New HireRe-HirePromotionPT to FTDepartmental Change
Work Phone

Area CodePhone Number
Employee Email *
You MUST provide a personal or work email to submit this form
Date of hire / rehire
Employees Job Title *
Employee Department*
Please select one
Employee Status Select One *
ELDE TERM START DATE

MonthDayYear
Date
ELDE TERM END DATE

MonthDayYear
Date
Employee Job Class *
Employee Rep Unit *
(EX: TW1, SD1, UM2...)
Union*
Supervisor Name *
The person that approves employee's time card
Supervisor Email
example@example.com
Supervisor Phone
Please use city phone number
Is this employee classified as a supervisor?*

YesNo
Is this employee a FORM 700 Filer?*

YesNo
Is this employee Benefit eligible?*

YesNo
Does this employee need to attend Benefits 101 before NEO?

YESNO
Any other requests, details HRM should know when processing this form?
Should be Empty: