New Employee Form for Existing Clients  
  (Please fax the confidental IRS W4 form to our efax center:    
   1-888-820-7011)    
 
  COMPANY  
 
  First, MI LASTNAME   START DATE
 
  DIRECT DEPOSIT(YES/NO)   DEPARTMENT:  
 
  PAY FREQUENCY:   TYPES OF PAY: $  
    SALARY   PER
  HOURLY   PER HOUR  
  OTHER PER
  DEDUCTIONS:   Y/N   OTHER PER
  MEDICAL(Y/N)    
  RETIREMENT(Y/N)     SICK(Y/N)    
  DEPENDENT CARE(Y/N)   VACATION(Y/N)  
  OTHER     HOLIDAY(Y/N)  
  OTHER(Y/N)  
 
  SICK AND VACATION PAY
  If this employee earns paid time off, complete the section below; otherwise leave blank
 
  Sick Pay Hours   Vacation Pay Hours
  No. of hours earned per year     No. of hours earned per year  
  Max hours accrued per year(if any)   Max hours accrued per year(if any)
  Current balance     Current balance  
 
  How Hours are accrued:   Y/N   How Hours are accrued:   Y/N
  As a lump sum at the beginning of the year   As a lump sum at the beginning of the year
  Each pay period     Each pay period  
  Each hour worked     Each hour worked  

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