Employee / 1099 (W‑2) Form

Employee / 1099 (W‑2) Form

Complete your personal, employment, and payroll details, then review the documents we’ll send for your signature.
Personal & Identity Information
Full Legal Name

First NameMiddle NameLast Name
Residential Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Employment Eligibility
Work authorization status

Other
I-9 verification documents
Are you licensed to operate company vehicles?
Job Role & Classification
Position Title
Department
Employment Status
Classification
Pay Rate
Overtime Eligibility
Skills, Certifications & Training
Safety training completed

Other
Highest safety certification level

Other
Trade certifications held

Other
Equipment operation certifications

Other
Apprenticeship or journeyman status
Training and certification records
Union Affiliation
HR & Compliance Documents
Employee handbook acknowledgment
Safety policy acknowledgment
Drug-free workplace policy acknowledgment
Confidentiality agreement acknowledgment
Non-compete or non-solicitation agreement
Harassment & discrimination training acknowledgment
Equipment & Access
On-Hand PPE

Other
Issued Tools or Equipment
Should be Empty: