KD Industrial Maintenance Services, LLC
New Employee Set-up Form
Basic Information
Name
*
First Name
Middle Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Date of Birth
*
-
Month
-
Day
Year
Date
SSN
*
Gender
Phone Number
*
Tax Information: W-2 Only
Federal Filing Status
Single
Married
Allowances
State Withholding Filing Status
Single
Married
Allowances
Upload Copy of your Drivers License
Drivers License
*
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of
Drivers License
Upload Copy of your Social Security Card
Social Security Card
*
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of
Upload a Void Check
Void Check
*
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of
Submit
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