General Aplication

General Aplication
Name

First NameMiddle nameLast name
MF
Date of Birth (mm/dd/yyyy)

MesDíaAño
Social Security Number
Phone
Format: (000) 000-0000.
Address

Address (Street Number and Name)

Apt. Number

City or TownState

ZIP Code
E-mail Address
Emergency Contact
Name
Relationship
Phone
Format: (000) 000-0000.
Information for Payment
Direct Deposit
CheckingSavings
Bank Routing #
Bank Account #
Sign

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Contract per Hour
If I receive onsite training, I will be compensated for 1/2 of the total amount of hours
training. (1 day).
Signature

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I understand and acknowledge that is my responsability to read and comply with the
employee handbook. I futher understand that I should consult my immediate supervisor
if I have any questions.
Signature

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I understand that SERVICE SOLUTIONS USA may terminate my employment at any
time, with or without cause or advance notice, and I will be compensated for work
completed.
Signature

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I understand that I´m responsible for signing my timecard and submitting said timecard to my immediate supervisor for payroll purposes.

I´m aware all overtime must be approved by my immediate supervisor, otherwise may result in disciplinary action and termination and my employment can be terminated.
Signature

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Form I-9
Name

First Name (Given Name)Middle InitialLast Name (Family Name)
Address

Address (Street Number and Name)

Apt. Number

City or TownState

ZIP Code
Date of Birth (mm/dd/yyyy)

MesDíaAño
U.S. Social Security Number
Employee's E-mail Address
Employee's Telephone Number
Format: (000) 000-0000.
Signature

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Signature

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Signature

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W-4
Name

First name and middle initialLast name
Social security number
Address

Dirección de la calle

Dirección de la calle Línea 2

CiudadEstado / Provincia

Código Postal
City or town, state, and ZIP code
Single or Married filing separatelyMarried filing jointly (or Qualifying widow(er))Head of household
Claim Dependents

If your income will be $200,000 or less ($400,000 or less if married fling jointly):
Multiply the number of qualifying children under age 17 by $2,000
Multiply the number of other dependents by $500
Add the amounts above and enter the total here
Other Adjustments
Other income (not from jobs). If you want tax withheld for other income you expectthis year that won’t have withholding, enter the amount of other income here. This may include interest, dividends, and retirement income
Deductions. If you expect to claim deductions other than the standard deductionand want to reduce your withholding, use the Deductions Worksheet on page 3 andenter the result here
Extra withholding. Enter any additional tax you want withheld each pay period
Employee’s signature

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Should be Empty:

General Aplication

Information for Payment

Contract per Hour

Form I-9

W-4