Employee Cover Sheet

1975 Commonwealth Ln
Tallahassee, FL 32303
(850) 574-8800 ext. 3558
(850) 574-0774 (fax)

Attn: Theresa Bell

RE: New Hire Information

From: ___________________ Location: ________________________

Phone: __________________ Fax: ____________________________

Instant Messenger Screen Name: _____________________________

Documents to be included:
 Employee Contact Information
 W-9 Form
 Direct Deposit Form

Supervisor’s Use ONLY

Date Received: ____________ Initials ______________
All Documents included Yes No