JEI Employment Forms

Employer Name
Employer Email
Employer Phone Number
Welcome Aboard!
Dear Faculty Member,

Thank you for being a part of the {employerName} Professional Team!

Your work is very valuable to us and the {employerName} Human Resource Department is here to support your efforts.

In order to ensure that you are compensated accurately and in a timely fashion, please click through the forms below to complete and submit your required information and documents as soon as possible.

Please understand that if forms are submitted incomplete or late, we may not be able to properly review and process your compensation in a timely manner.

Thank you in advance for your cooperation!

Summary of Available Forms
- I9 Form - Employment Eligibility Verification
- W4 Forms - Federal & State (if applicable)
- Direct Deposit Form
Helpful Documents to Have Available Before you Start
- IDs: Passport, Driver's license and social security card.
- Financial Information: Previous year's tax returns and W2s.
- Banking Information: Bank account information and copy of blank check
If you have any questions or need any assistance filling out these forms, please feel free to contact us at {employerEmail} or at {employerPhone}.

Sincerely,

{employerName} - HR Department

Contact Information

Employee & Emergency Contact Information
Employee Information
Employee Name*

First Name and Middle InitialLast Name
Gender*
Salutation*
Preferred Name*
Please enter the name you will use for any future information or correspondence
Home Address*

(Street Number and Name)

Apt #

City or TownState

ZIP Code
E mail Address*
example@example.com
Cell Phone*
Emergency Contact Information
Contact #1
Emergency Contact Name*
Relationship to Employee*
Daytime Telephone*
E mail Address*
example@example.com
Contact #2
Emergency Contact Name*
Relationship to Employee*
Daytime Telephone*
E mail Address*
example@example.com

Do we have your direct deposit information on file already?*

Yes, please continue using the same information.No - I would like to submit new or update the information you have
Authorization for Direct Deposit
Declaration
I authorize {employerName} to deposit my pay automatically to the account(s) below and, if necessary, to adjust or reverse a deposit for any payroll entry made to my account in error. This authorization will remain in effect until I cancel it in writing and in such time as to afford {employerName} a reasonable opportunity to act on it.
Account Information
Number of Bank Accounts
Would you like you pay to be split based on a dollar amount or based on a percentage?*

Dollar AmountPercentage
Name on Bank Account*
Bank Account Number*
Bank Routing Number*
Account Type*

CheckingSavings
Please attach a voided check for the bank account to which funds should be deposited.

Browse Files

Cancelof
Percentage of pay to be deposited into Account #1. The remaining pay will be deposited into Account #2.*
Dollar Amount to be deposited into account #1. The remaining amount will be deposited into Account #2.*
Account #2 Information
Name on Bank Account*
Bank Account Number*
Bank Routing Number*
Account Type*

CheckingSavings
Please attach a voided check for the bank account to which funds should be deposited.

Browse Files

Cancelof
By requesting authorization for direct deposit, I understand that {employerName} is not committing itself or implying that payroll will be issued via direct deposit at this time. {employerName} will keep this authorization in my employee file in the event direct deposit becomes a possibility or is needed from time to time.
Employee Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty: