ER Express New Hire Request Form
ER Express Employee Name
*
First Name
Last Name
This form is for an ER Express staff member who is:
*
A new hire
Changing status
Termination
Upload the new hire's resume for HR
What status is changing?
Full time to part-time
Exempt to non-exempt
Non-exempt to exempt
W2 to 1099
1099 to W2
Office location
REAL intern to non-exempt intern
Termination effective date
-
Month
-
Day
Year
Date Picker Icon
Voluntary / involuntary termination
Voluntary termination (resignation)
Involuntary termination
Planned termination, i.e., seasonal help, summer intern
Is the employee eligible for rehire?
Yes, eligible for rehire
No, ineligible for rehire
Start Date (or, if employee is changing status, effective date of the change)
*
-
Month
-
Day
Year
Date Picker Icon
Title
*
Employee Role
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Full time W2
Part time W2
Part time 1099
Full time 1099
Full time intern (W2)
Part time intern (W2)
If the employee is a 1099, please check off which criteria s/he meets
The work performed is NOT an integral part of the employer’s business
The worker’s managerial skills do NOT affect his or her opportunity for profit and loss.
The worker makes some investment compared to the employer’s investment (and bear some risk for a loss)
The worker demonstrates that he or she exercises independent business judgment.
The lack of permanency or indefiniteness in the worker’s relationship with the employer
The worker generally works free from control by the employer (or anyone else, including the employer’s clients)
Worker meets none of the independent contractor criteria
Upload justification for independent contractor status
Exempt status
*
Exempt (salary)
Non-exempt (hourly)
New Hire will report to:
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First Name
Last Name
Hiring Manager's email
*
IT Needs
Please set up the following email address:
*
Computer Needs
*
New laptop
Re-purposed laptop
New desktop
Re-purposed desktop
No computer need - employee will use own computer
Additional IT Componenets
*
Second monitor
Docking station
Landline
Earpiece
VPN Access
Unrestricted web browsing access
Excel
Powerpoint
Word
Visio
Outlook
Remote Outlook access
This employee will sit here:
*
Additional notes for IT
Finance Needs
Set up the these finance tools
*
Concur
Direct deposit
Cell phone allowance
None of the above
HR Needs
Set up these HR items
*
Benefits package
Office key
Suite key
After hours building card access
None of the above
TimeForce
Work location
Atlanta office
Home office / remote
Other
Additional notes for HR and Finance
ER Express Internal tools
ERx internal tools requested
*
Zendesk
Salesforce
Jot-form
Box
Adobe Photoshop
Business card
Slack
Form submitted by
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First Name
Last Name
Submit
ER Express President Approval
ER Express President approves
Yes, I approve
No, this needs revision
Revision comments
Signature
Submit
Should be Empty: