LA - New Hire Packet

Instructions
This portal will guide you through the process of completing the following forms:
- Federal I-9
- Federal W4
- LA L-4
- Direct Deposit Athorization
Documents that establish both identity and employment authorization will need to be uploaded in accordance with the I-9. A list of approved documents is noted below.
Union Local Name and Number*
Example: IATSE Local 134

Employment Eligibility Verification

USCIS Form I-9Department of Homeland Security
Employment Eligibility Verification Department of Homeland Security

U.S. Citizenship and Immigration Services

USCIS

Form I-9

OMB No. 1615-0047

Expires 07/31/26
Section 1. Employee Information and Attestation (Employees must complete and sign Section 1 of Form I-9 no later than the first day of employment, but not before accepting a job offer.)
Name*

First NameMiddle InitialLast NameOther Last Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of birth*

MonthDayYear
Date
Social Security Number (numbers only)*
Email*
example@example.com
Phone Number*

Area CodePhone Number
I am aware that federal law provides for imprisonment and/or fines for false statements, or the use of false documents, in connection with the completion of this form. I attest, under penalty of perjury, that this information, including my selection of the box attesting to my citizenship or immigration status, is true and correct.*

1. Citizen of the United States2. A noncitizen national of the United States (see instructions)A lawful permanent residentAn alien authorized to work
Enter USCIS Number or A-Number
If a noncitizen authorized to work please enter work expiration date.

MonthDayYear
Date
A noncitizen authorized to work must provide only one of the following document numbers to complete Form I-9: USCIS A-Number or I-94 admission number or foreign passport number and Country of Issuance.

USCIS A-NumberForm I-94 Admission NumberForeign Passport Number
USCIS Number
Form I-94 Admission Number
Foreign Passport Number
Country of Issuance
Signature of employee*

Clear
Signature (Stylus or finger)
Today’s date*

MonthDayYear
Date
Preparer and/or Translator (Check one)*

I did not use a preparer or translatorI did use a preparer and/or translator
Preparer or translator signature

Clear
Date signed

MonthDayYear
Date
Name of preparer or translator

First NameLast Name
Address of preparer or translator

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Upload a picture or your list A/B Document to validate your identification (See below for examples)*
Upload a Picture of your List C Document to validate your identification (See below for examples)

Do you want to begin direct deposit or update your direct deposit information?*

YesNo
Direct Deposit Authorization
I would like to:*

Begin Direct DepositCancel Direct DepositUpdate my direct deposit account information
Bank/ Institution Name:*
Routing Number:*
Confirm Routing Number:*
Both Routing Number fields must match.
Account Number:*
Confirm Account Number:*
Both Account Number fields must match.
Type of Account:*

CheckingSavings
I authorize Union Payroll Agency, Inc. to email an electronic copy of my paystub to the email address provided:*

Yes, email an electronic copy of my paystub.No, I prefer to have my paystub mailed to my address.
I authorize Union Payroll Agency, Inc. (UPA) and the specified financial institution to deposit my net pay into my account each pay date. If funds to which I am not entitled are deposited into my account, I authorize UPA to direct the financial institution to return the funds to UPA. This authorization is to remain in effect until I have filed a new authorization form or until revoked by me in writing.

**I understand Direct Deposit will not take affect until the check date that is 10 business days after this form is received by UPA.

Incorrect information and missing information will delay the initial start date of your Direct Deposit.
Signature*

Clear
Today's Date*

MonthDayYear
Should be Empty:

Instructions

Employment Eligibility Verification

Step 2(b) - Multiple Jobs Worksheet

Direct Deposit Authorization