Employee Payroll Set-up Form
Store #
*
MI-53 Lake Orion
MI-54 W.Novi
MI-55 S.Lyon
MI-62 E.Novi
MI-63 Oxford
MI-83 Milford
MI-117 Jackson
Hire Date
*
-
Month
-
Day
Year
Date Picker Icon
Employment
*
New Hire
Rehire
Transfer
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Birthdate
*
-
Month
-
Day
Year
Date
Need Work Permit
Please Select
Yes
No
SSN
*
Filing Status:
*
Single
Married
Head of Househhold
Exemptions
*
Position
*
Crew Member
Shift leader
Payrate
*
Deduction: Amount:
*
Apparel
*
Submit
Should be Empty: