Application

I-9 Application

Match One Staffing
Name:

First NameLast Name
Middle Initial:
Other Last Name Used (if any):
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth:

MonthDayYear
Date
Social Security Number:
Email:
example@example.com
Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
I am aware that federal law provides for imprisonment and/or fines for false statements or use of false documents in connection with the completion of this form. I attest, under penalty of perjury, that I am (check one of the following boxes):
Alien Registration Number/USCIS Number:
Work Visa Experation Date:

MonthDayYear
Date
I attest, under penalty of perjury, that I have assisted in the completion of Section 1 of this form and that to the best of my knowledge the information is true and correct.
Signature:
Date:

MonthDayYear
Date

W-4 Form

Match One Staffing
Name:

First NameLast Name
Social Security Number:
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Multiple Choice:
Multiple Jobs or Spouse Works: Complete this step if you (1) hold more than on job at a time, or (2) are married filing jointly and your spouse also works. The correct amount of withholding depends on income earned from all of these jobs.
Claim Dependents:

If your total income will be $200,000 or less ($400,00 or less if married filing jointly):
Multiply the number of qualifying children under age 17 by $2,000
Multiply the number of other dependents by $500
Add the amounts above and enter the total here
Other income (not from jobs). If you want tax withheld for other income you expect this year that won't have withholding, enter the amount of other income here. This may include interest, dividends, and retirement income.
Deductions. If you expect to claim deductions other than the standard deduction and want to reduce your withholding, enter here.
Extra withholding. Enter any additional tax you want withheld each pay period.
Signature:
Date:

MonthDayYear
Date

Employment Application