fm RION O-MPLOYMENT NOTICE ANO ACKNOWLEDGMENT Workste Employer._Princsion Temporary Services Inc __ worst tection Employee Ok partment: _802M ion Te/Posion Employee cass _802 hourly Heo Date: PEO WireDate:__ Fest Date Worke Poynate: pay Fraqueney:_ Veet Fistcheck ste, s:-wecky Semi Monthy Monty Pay Type: ouy Salary xem, Salary Non Eeemet commision ower Employment Status: ___atttine_Vbur-time__V-emporay season onan Authored Signature: ate [stern Yar wove Ego nt Hotes eon Can tae eed os Per enpayfove igen Avene tat te comple ao ere yr wats ge an anyon signs evanescent ee san nena wionig ar ans wnpunto penar whetn be tae se gre ste ween ee ae es been in wry Wi pe Waa Eas en can our os ode create chee a ath yrs ten be nine Sap ses gee erento iow ag eee foe Wot goes rat see win sr Woe epee: he, tsi pe sneer pee sess ent Sse i na nd rer epee nay Ste esr ton and nn Fd. st gt mang yep wn he Wort mp Tn me eye a, en Sazese canteen anne oineb tte a angen er eed oa! atm oy ot avg tan nd ead scree ote see ay ee Ba ee ‘Sense hrs wae rn eis castor ot arab hi tao epee ape ee Serengeti tes eo rman cao Bros pre nce ne Suh aan poe: Tn reid PEO pure te Ses te in ou ve ys amps phen Stine Conan A221 Se tS 30 sl shang, 2S IH 3442 os eS eet 2088Employee's Withholding Certificate , Comtatomtneuiny etc utnassnseretiioneuatonnwrm| ae > You insane jet oe ye. fa Cameo marartig (sarang joy en sop Clnenderaman econ ya tary an td ge na natn ‘Complete Stops 2-4 ONLY I they apply to you: otherwise, skip to Step 5 Sex page? for mere ifrmaton on echt, who ean iam exemption tom witnlang, whan to use the anno stat, an pay. Stepz Multiple Jobs or Spouse Wore ‘Capita is sip you Fal move an eno jab a tina rae arid fang ly an your spouse tis worka Tha cavect amauta whaling depends on eames oma ee Do nty ane of ne fiw, (a) Use me estnatr at wes. govianop to most accurate wating forthe stop (and Sap 8 oF (0) Use ete be Wort on page retreat A bon orgy ceric or {etree nly wo obs eta you may chee box. Do tho sume en Farm Wt ote ter. The epon |S acute ejb wisn pay hare rare sx han peony ayo wd ro THT escalate ea ct be. yu (Yur apa) ve sshensorent onl stp a Fam eet cero Yor wittrg t Steps: T yur income wtb 8200 00a ($0000 or as rare nga Claim oe ati ne nante of quan len under age 7 by $2000 § iy te umber of ter dependent by $500 s she aves ove an ena tt hare als Steps (a) Other income (not rom ob) jou wart ax wath ter wane you expe (optionan: Si year tm wot hve waning ene te aunt of ser roams Fre. Tay ee Ince toes dene, datemert care [ale Adjustments 1) Deductions. you expect o calm ceductons otter han the standard decucton lind want radioe your withing, use the Deavctons Wekset on pape 2 and ‘ror roautnee lamls {Extra withholding Ester any sctonl ax you wart wield ach pay pared. [4/6 (rae peste py, see ati cro oe Eat cl ny awed abel be coanh wae D pie anna Te as aT eave) ———_—— a Employer [Evert naaaa Taam [eect Ener Baa omeGeneral Instructions Future Developments Forth atest nfrmation about developments late to Form Ws, uch asleglaten onact eter was pubkahod, gto van ra.gouronmiA Peron erm Senescence Saurav es Seaheneeeaen i Cee og asa sentence Sate mec caanecre Seaeaterys easement Sncaccaieeneanree scrronaee ry meron San tc cgeneensa ss ie ceeieemiemennfie cea coe ian airauuad ores mnisceaiee esa aire, Rissa aim eonmss Heer erent, seed eneratrmmeete ne Beciaire ce cnearenecnite ea Se aasamemeat er Sorsara steers Rare ieee se, ieee ‘aster tn: hese fess ences ee ee rece an Eenamnremete ieee Riviere camitsaee Eb ireiocenc mts Hed gepecnnnntns aeorienr tere eriparien Coder attest mnie Teorey totter iiecenccommnieeamnee® Euefencasmamincaet Fraphaeeieteeraris Peroeresiecnioaranr ea Sonoma rte Siem raaemam eee Bowen neeermtene iene Semesioisesia teas te omna seyret nesmete ota teeta renee tre ESEESEE Specific Instructions Step 1) Check your antepated ting stats. Ti wil ‘eters the standard Seduction tox ae Use Yo compute your wiht ‘Step 2, Use ti step you (1 Rave mar than one job at he Sametime, or are mated tangy endjou sd your Spouse bot werk ‘tion (a) most accurately calculates the ational x 1g eee reel he pton des so wth you nd your spouse have a otal of ony wojobs, you may stead cha the box in aptn (eh Thabo st alsa be ‘heckad on te Form Wet for ec Fe box i checked tna atandard deacon sh tax acts wl be cut Inhalt each oot caluatewitelaing. The opto ‘ough azourat fr oo wi alphas, more ax ‘han neessary ray be wil rah xr aut wil be lege the greater te aiferooe ay between a v0 eo, ‘Multiple jobs, Coneiete Steps 3 rough db) an only re Form 4 itoldng wil be met accurate a i on he Form Ue the Nest ay ‘Step 3. Step 3 of Form Wot proves ints lor eterminng the area of tech tax crest a the erect {or ciner dependents hat you may be alee caim when Youle your tx retur. To quay forthe chia rahe hid mist oe underage a5 af December 3, must be you dependent yne genoa ves fh yout mere than Fai se yur, and most neve he regard soca soc umber. Yu may bo abo clam a rel fr ter ‘apancens tor wena sit eat sa ecm, Such at an older ox ora coating live For asotoral Sty equrerens or oso cra, see Pub. 872, Ch ‘Far Creat ana crest fr Otre Cupendonts. You can ao. elude othe tax eft ntl tn, such ss education tx {ods ana the oragh tax crest. Todo so, acd an estrate fine amount for te yea oyu erect er spencers Snd eta the toa arsoat in Stn 3: nelusng hee erste vl nreas your paycheck ad reduce tha amount of ay ‘atund you my eects hen you le your ta ern Step 4 (optional. ‘Step af Erin hs sep to ttl of your ater stata Income or he yar, any. You shout neude [Bceme fom any ioe or eleempiayment you comiate. Stop Hal youltaly want have to rave estimates toe pyre Tor that come. I you prefer to pay existe tox ‘Father than having taxon cher neome wil fom Your [ayneck see Form 10085, Ema Ta for haus ‘Stop 40. rien is te the arount rm the Deductions Worse ne you orpe!t sam aeaurton the an tha basesandard desu on your 2020 tak ers ar ‘want reduce your wating to accor er tece ‘Seductont sh sor stent oan mirest and Fk ‘Stop. Erisrn tis sp ay anal taxyou want vite frm your pay each pay period, ucts ey “Snounts fem te Multi Jobs Worker ne 4 Entering an ‘Stout hare wil eos you ayehack and wi her aaa Yourrtund erode an amour fax tha Yu ove‘Step 2(0)—Muliple Jobs Worksheet (Keop for your rcard) ‘you checs mo optn m Sto 2) en Farm W-4, compe bis waraboet aie ecules te tale ax fr al ob an ony ONE Fam in itolan wl be moet sua! you cep ne warkhon al ent’ erent en te Form Wa be Raves ea es Nts: mre than on oo hes aru! wagas of mre than $20,0 r there re mere than te jos, see Pu. SS or aoa {ables of you co us the one wtih estalr a wir goa. 1) Two lobe you havea bso your marie ng joint and you snd your spout each have oe ab rte amount tom te appropiate on page, Using the “Higher Pag 00" ow a re "wer Paying Job" clan, fr te ae the treatin ofthe Rows nae a ote that ue cota anak ne 2 : : vs 2 Three obs you acer your spouse have tree jobs athe same tne, compete ns 2,25 and | Find he areurt tom the aeropate abe on page 4 using th annua! wages rom ine nghast ‘ping odin te higher Paying 0" row andthe ea wage for your est het ain jo Into “Lower Paying Joo” columo. Fd the vale th rtaaecton othe to Roweald sls ‘darter tat ave on a as 1b Aad ne annual wags ofthe wo highest paying abs rom tne 2a together and ute he otal as the Wags inthe "igh Paying Jo ow aur the snr wags for your its 00 ha "ower Pyne Joo cur of ha wount rom he appropriate on page 4 and aie out ovine ae ms Al th aunts tom ngs 28 and 2 an nr ha rest on ne 22 2s Enter the number o pay pats oe oa forthe lest coin ob. or ara, that od ave Senne tm cas ream ore 7 4+ Do wma apa 12 ey rap pata nb 8 a i See re See Rare that neci Map eahe se casae cand a ie t)-Dedueton Werke! ap frou eer) a Ener an estimate of your 2000 farized deducts rom Scheae A Far 1040 1O4OSA, Sach ‘dosictors may nce galing ome marge mre, chartale conver, sna an ose tates op to 10000, and medics expensosin excess 729 of your income + $24,800 yor mar fr tor ua wow 2 ema: | § snes ityeute mead ot nosshad 28 1512400 i jure single or marie lng sapratey 8 ne tis prstartnan ne 2, stat ine 2 rom ng 1. Hine 2a eter tantoa enter -" 8 4 Exar an extn of your stent loan interest, desuele RA contbtons, and cern one Sahstmaris from Part of Senos? orm 045 cr 1040-SR. See Pub. 505 ‘orore oration $ Seer aaeetiones memes eneecennesrd Fg RSTO eee aaa eee aaa [as [ae aes [aes as [am [as [me isl be| feel tes] el ua] 3] eae] se | HES ee es siomt0- saa0] 220 20mm 23200] ‘0000 «9 asmo| asm | sam| asro| 751 | azo | azo sso00 sa asn| sa~| esr| 1s0| esm| ozo | az 0 as S510] esr] rst | sro] nave] vozt0 | waza s7o0%0- 7909 es%0| 7570| as70| sro] rosro | i220 | 120 azo | gi20 | voazo | v.20] raaz0 | aan | so Pd s20200. a9 ‘20000 saz | s2720] e720 | sera | daveo | mao | 21370 swoon 318009 t2iz0| wazo| tez0| team | aaseo| ats | zasr0 zosom| axcoo| assc0 | axon | ansso| 31850 ‘zon sec Fier Pra, ob Arua Taxable Voge A Baby onal Fae ssoqr-| scons] sraco-Tse0056 a9 rea Jan ‘Woge 8 Suey slay [ots | Yaous easoo | sso | tea [ tua o- —aaii Taro] sare] sian] a7] sano] too | soe sromm0” se90 ‘asso | 2080 3a | sa | sis0 2am. zoo 500 | ts sso | So | ere sam aaooe] i970] neo | —a1a0 Sao] S70 es] es] eno Samm. ssa] ta | 3400] to tax | ras ‘own | 8000 sicom. masco|_tsro| 9aa0 | 4 soo | as fuga | Gato | 0, sr0000- 0) 2000 | sai0 | S020 020 | 700 Taato | s1ato | Te08 200| sa0| sso soaso | si sso] saz | 390 200] 4a] 70 a0 | 88> iam) amo] aaa tra | sao] 750 rac | 15340 tm | mao] 2120 zoro| sco] a2 esto | veae0 1a70| mo| a0 Sonzoo-atsaae| 2g70 | sas | 200 tase | 15000 sane | 21200 | 220 swommemnaew| uo] sao] aare ‘s70| 20 zino| som | 24300 Head of Household ‘age Paya] Tower Paying Job Arnon Toa ‘ma Tae [ae |seoo00-|ssncn0-seaom| [sa [ream Janam ‘ae & Say ‘Siam [ao | som | ‘ae ase [ns | to 10-698 Haar | sae0 | sae | aad fimo 00 | e200 szomi0 22s0e zaoi| asm] soon | 4500 sro] aso] sao ome aaa 3001] ass | toe | ae 7a |r ‘aera | sag] Ya30! am. eaae tooo 103 yao | 300] aaeo | 100 st2sam. 12939 yam | asco] vias | taae0 avo] ium | saa ‘Stsomr0- 14509 sae | Taco) Tasso | ta7a0 roses | aia | Bao star 1a929 saaso | 27m | 000 | 1730 nig | zen | aso sou 2a 370| sae | wssr0| sear zu | fr sas Eason -aea000 ‘iave| taer | tsar | Te2re a eva | toa | va] ree ‘Ss0.00 a3 Senz00ars ontEmployment Eligibility Verification users Department of Homeland Security Form £9 US. Citizenship end Immigration Serves a Saar, 2 START ERE: Rea nntons cary nore mpg forms The arucon mat ulate ern paper otoniy, ‘ina compton ats tom Employer eas or ones nthe comp team, ANmDISCRIMNATION NOTICE: stp dicate port wor aureus Employers CANNOT sesh ene) an “ule a peat eases enpoyenahorane area The haa cnn spy mae bosses Scion bused ar heen ye coe te nen, [Section 7; Employee Information and Attestation (Empiyeas mus canpse id apn Salon TOPSTAR Ina eat dy of employment bun bela 909 fer) Tabi mr | UBiSeaNeae Namie | Emperees Emel A of fle documenisin annetion wth he compistion "i [Cis ean re Unies Sie [D2 Arona nates fe Und 3 AlAs prannr aon Reatn NrJSCS None [Dias sicincner tenia rt ‘Aten aaa wor must reve ay anf he slong sonar rn’ oom Fm ee ‘arin apraton Somber CIs Hon’ OW Fam 3 Seman hour OF Pon Peep ane oR. ‘OR 2. orn Pansat numba: cour tein a era [Preparer andlor Translator Coriiication (checkone);_—=—SSS Sd [Lice etse epopreorati. (_] Apeares) nvr) nts ene conpata Stn |Fatés becw must be canted od sre when propacrs ander ansbers asst an enplyee in cain Sot 1) sitst, under penalty of peu, that Fave assisted inthe complain of Secon Toi form and Wa te Bost TTY knowledge the formations th and orec ti athe ay Rea) [Fstvare Ghar one) "tee Stes Renter ogame) =F @ nvercompees er Pse Fao 19 10@12019 eosLISTS OF ACCEPTABLE DOCUMENTS ‘All documents must be UNEXPIRED Employees may present one selection rom List A ors combination of one selection fam List B and one selection fom List TE ervzv—vv— Documents that Establish Documents that Establish Doe at Eetablih Both identity and Ieontiy Employment Authorization Employment Authorization US Passo ors. Passon caw | |1. Divers iowwe or iD cara issedy 2 1. Soda Seery Aout Mune Seats nesouacaia athe’ * | * Cotsasbecaceca net 2 Penararl endn Carder A Scart. | being mata Ropnran Rossi ad es) = Het Cad ( "| birsogeai cr Mloraton 3 aH yo| (1) NOTVALIDFOR! EMPLOYMENT. [3. Foreign passport that contains @ poner toap Re (2) VALID FOR WORK ONLY WITH Cee reer weaamenzirce eerleanoniorovamce: | | Dear lnedby fedwalwasoric ee a | at tematic Sagres apron woncon a wit s shacgarhor [Employment AsbotzaionDoomvest | | formation sun a name. date ou, | = COATesen erent ET ened Efains a mown Pom Geoatapecae tasivon | syOudeutnare Sue Fome tes |_gramc esti evecobs dations | Tasers Fo) eae pe [5. For a nonimmigrant allen authorized fe Seto nena '%. Criginal or certified copy of bith omemeiener | [a varsegerta art Cindy porate same, oad oe eee pple ome soe [6. Waitary dependents 1D card Senge as cera 7 teow |ro-US, Coast Guard Meret lanar | &_ Nave Anvarcn tbel dosiert Ormgsanarane esterase] | ose US, Can ID od (Form 197) Ik Nate Ararcan Weal document |< wetzason Gear Use oh (2) An endorsement tbe lar’ ‘onenngran i oor 0s Papers cfenceremen has | | _gowemmentautorty Fotye expe ana th propoted employment isratin. | nich ny rates cr | Irons tard on te fom, jn Diver oars nuedby a Canadian |" Rowdee Czanin te Unied ‘State (Fam 179). 7 Enpioymanlauboreaon (reument sued) fe Deparnantot omens Secuty a. Passport om te Feces Sates ee litwenana (Sig ore Repusie | [O- Seheeevrd or rpor cond tthe arta ance Pau) wn | 4, Cin, decor Fetal om tet arom 9A ldatng Fomrmigertsimissonurderte | ['2 Dayoare ornurary soo econ ‘ergatof Foe Aaroiton Beton {he Una Sate anh For Examples of many of these documents appear in the Handbook for Employers (V-274), Refer tothe instructions for more information about acceptable receipts. ————————————— Foo 19 wavs reesetASPCA Property Return Poli: ‘Wail on esignment for the ASPCA, Ishll be responsible forte appropriate ue, secur and safekeeping of technological equipment and resources. Iagre tort al equipment, lecronic devices, ID passes, kay, et, tht ae the propery ofthe ASPCA upon termination of ‘2 stsignment wit them. have read and understad tis provision Paine name “Signenue Daefarmsof souetharaseent The purpose of ths ley sno eps et enpoyets onal osty ata, st ensue tat nthe orga noone may ha, ‘wothernddval, snc ether employes, superiors ena, Seether ‘eis ot ny define sens haresmen ines unlcare seul ne owen of stl vers, etl rps conduc sen ture pe day sexs suggestive pce ejects of el nado, tno noe mpage ling. tengo ober orc at str uneceson ea toteernrore. ‘members management wil be had sounder the eesti sdrin ons thispotey. ‘Any eploye wo fs tithe orshe a heen subcontinent shu Ines report the mater nara with re sel rent oy tte ‘ampany at which sch enoyee ie wong walle en Pesce ‘pertion fFoum Stating sare, Volatons of pot wl rete pete Form fg Secs ereahy Iovertgate ey reser fatale prnanhrsrnar od ae romp orecv sion wneeaprprite. Employer who vse is olay beet ‘espproprite cpliary acon, up taans ici emotion of enorme, Te the ent posse, tpi ofthe carling pra the psn ace of sel hres wl brea, coastn th the ee iy meee od ' ampoye lb end nny way fr etsy got nest policrin good th: The undersene hereby cowl recpt oop of th Sen! Kesment ote eta eet piceCONFIDENTIALITY AGREEMENT “This Confdetiaty Agreement (the "Agreement" is made by and between The American Society forthe Prevention of Cray to Animas a New York not-for-profit corporation with offices wt 424 East nd Suet New ‘York, New York 1028-6804 (the "ASPCA"), and Mary Bet Maine an indivi eiing _ ane) (ach a "Party." and collesively ‘he "Paes. This Agena elfeive ws of Spieiber 4 2020 ands made to enhure the protection and reservation af the confidential allo proprietary nature of infamaton tbe dicosd by the ASPCA to Mine in ‘connection wih Main’ temporary eogageent hough Forum to povide eves othe ASPCA porn othe ‘agreement btveon the ASPCA and Forum TL Maine understands and acknowledges tht during the cure ofthe temporary asignent win the ‘Shelter Ouresch (NSRR) Deparonent athe ASPCA, they have bal and will have sees o and ls bout confident, sert an proprietary docuents, materials and othe information, ntangble and intangible fa, of nd relating othe ASPCA andor ks employes inloing, witout ination, information sbout employee ampersaton, compensation seataie and praties, oer employment polices, busines practice, contac, Personal ientfiahe information, nancial infrmaton and oter proprietary and confidential nfrmatio, incleding ‘he eons ofthis Agreement (the “Confidential Information), Maine farther understands and acknowledges tat the ‘Confidential nfrmaton and the ASPCA's ability o reserve it forthe exsasve knowledge and se ofthe ASPCA is ‘of great competive importance and commercial value tothe ASPCA, and that improper ase or declosire of he ‘Confidential Information by Maine might case the ASPCA Co incur financial coms, los of busines vantage, Tabiy under confidently agreements with thitd partes, esl damages and eriminal penalties, 2. Maine aknowleges and agres tat hy shall nt disclose the Confidential Information to any the party without the pir writen consent ofthe ASPCA. The obligation of content shal not apply o information| ‘nic: was nen o Maine por thelr aeguson ofthe Content nfomson on asignest wih he [ASPCA; i, or without fault of Maine Becomes, generally know othe public (©) aque by Maine fom & ‘hid party having no duty of confidentiality othe ASPCA outside the tems ofthis Agreement; (8) Maine eeived fom shied party authorized to dielse it witht resistin; () Maine, ther agents, employe subcontracts, itormaton stout Fem 880 eps itracons at wtr ome. ‘Job spplican: Filin the fines below and check any boxes that apply. Complete only tis ade, Sova secur mubare ‘Sesto where youve Se (ty orton sae and 2 code Ente your dato re ron dy, ye) + Choeire ounce aconsten ton fone ete woos py SA oa rig geey 2 Cl otecknr any of te ftowng statment apf you ‘Tam a member of fay tat has ecoved asitance tm Tamer Asitanc or Needy Fao TAN or any 9 ‘mors ato he pat 18 marth * Lam a vtrn anc mabe aly hat aceed Supplemental Nutiton Astana Progra (SNA bon ood ‘stamp ot east enact prog ring tha pst 1 monte, + was reer hare bya ehtitaton agency approved by teste, an employment network unde th Teka o Work ogra rth Department Votan As, * Hamat ast age 18 but nt age 40 ox ose a I arabe ot arty tat: ‘2: Recs SMAP bones flood stp) ha pat freon a bs Recoves SNAP beets fod stamps fast of te pst rots Buti oboe eg to reco tem + Dung te pst yea, was comico fa aloo raed tom pon or ery, { lreceved supplemental tert ream (5) bane or ay month nang aug the pat 6 dys * Lams veteran ad was uneloyed Tos pried or pero tang aaa 4 weak at es on ® mnths rng the 3 Check hr ityou se veteran anc you wee unemployed tr 3 prod pra totaling est 6 months ring te past yen ‘4 Ci.check nee you area veteran enied to compensation fra sent-conectd diy and you ware dechrged or released om tie city n he US Aemed Fro ng te pat ye 55 Ccheck nity area veteran ented to compensation fra servos coneod sity andy were rampoyed or odo ards totag at eat @ morte Lg the pst oe © Clchecknere ity area mambar of fami hat + Received TANF payment ra hepa 18 rath; or * Received TANE payee for any 18 mri being afte August 5,197, and th eres 10-morth eo begining ‘Ser gust 8 107, ended deg he pst 2 ons oF * Stopes big oil for TANF payments csr he pt 2 yar baca fda or ue ewe he mtn tne ‘hoes payment coud be mada 7 Check hare iyo arena pte of unemployment that at ast 27 cares wesks an fra pr that prod yourecevd unereleymant comperanon, ar R$ —$-—— SARE MRTG SES ag Seale eta en wtenay oe ee eas eda Te obaT TAT RIT Job sopicant’s signature >7 Nonagement @ Tre Forum Group Dear New Employee: ‘Your employer is participating in a federal program to intite job. Jn order to complete the requirements, please complete the survey below: _ Social Seouriy:#__ Signatur: : Print Name Date of Birt:_/_/_ How ol are you Have you worked for this employer before? YES] NOT] Yes, last date ofemployments_ PLEASE ANSW1 RN 1E FOLLOWING QUESTIONS: (Please also compete the top and sign the Dotom ofthe atiached 8880 form. Thank you!) 1. Inthe past 6 months, have you or family member received SNAP / Food Stamps? YES] NOC] EYES, please give name of pemary recipient & City/State: 2. Inthe ast 18 months, ave you recived TANF (Temporary Assistance for Nedy Fanilies? YES] NOL] EVES, pease pve name of primary recipient & City/State 3. Areyoua VETERAN ofthe US, Armed Forces? YES[] NO| + Have you been unemployed «combined period of (6) months daring he past year? YES(-) NOC) + Hav ou been unemployed fora combined period of weeks but es than (@ months dering the past earrVES_| NOL] + Were you dacharged or released rom active duty within the past year? YES] NOT] ‘Are yowentiled to compensation fora service connected dsabiliy? VES) NOT] + Areyoua member ofa family that recehed SNAP benefits frat leat 3 months daring the past 15 months ‘fore you were hired? YES(-] NOC] EVES, please give name of prinaty recipient & City/State: 4: In the past 60 days, da you receive Supplemental Security Income (SSI) benefits? YES] NOE] 5 Inthe last ear, were you convicted ofa felony or released from prison ater a felony convietion? YES] NOC] + Hes eaterthe date of conviction: aedateofrelase: + Wasthisa federal oa sate[ conviction? 6, Are ou being refered by an agency for employees wit disabilities? (Must be & Vocational Rebbiltation Agency) + YES] Nod) + Are you bing referred by Social Securig’'s Ticket to Work Program for employees wih disabilities? YEST] NOC] ‘+ Are you being refered by the Department of Veteran Affits?. YES] NOC] Have you rectived Unemployment Compensation for more than 26 consecutive weeks? YES] NOC] Starting Hourly Wage: $ Sturt Date: Please ste esto: Forum Consulting Services [) Forum Healthcare Stating [] Forum Services Group [] Princeton Payrolling Services (_) Princeton Temporary Services ] (Ss rezonbl i aint propa your expoy, a ian indeed orizaon. Al nora dade by ore, ‘Srv, willbe andl neni by your employe. The ieaton you pees aan en wile eedeaso eMG ee ‘fidence withthe Deparment of Ltr nine our egy ff gan Task ee peas cae ‘ost Management Serves, LeAuthorization Agreement for Direct Deposit of Payroll [hereby auihorize my employer to deposttmy net pay directo my checkng or savings accom elect che) enolate (necessary) debt enies ae adusmentsforany re enti in eer tomy acount “Toensue that my accounts propery credited | wl attach avoid check or savings depot cketfor ‘he avoount where my compensation wll be deposi and have complete the farm betw | agree that tis authorization wl remainin eect unt | provide writen notion to my emojer tearing bis sonics ard that Form Personnel inc, (a The Forum Group) wiotbeheld Teeponeble for any checks that are retumed for nsufien funds as areaut of my wring checks bore themoney s deposted my acount. — abate Electronic Transfer of Funds for Direct Deposit of Payroll ———— apenas Bank Addrase eee Bank Phone Munbop |< |lectronic timesheet entry system: wn fosumsaluionseroup cam Your login and temporary password to acess the system willbe sent to your personal ema addres. Upon receipt of your login, you willbe requested ta create your own personal password ‘Once you have ereated your pessword, access the sstem and lick on PHBE rom the dashboard and onthe following screen cick ‘Choose the appropiate week ending dte (The week begins on Monday and ends on Sunday. lick HB ‘The timesheet will populate automatically. Its suggested that you click on SRIBBRHEIER before entering ‘Your hours which will ero cu the time foreach day and alow you to enter your hours according, ick on the locks for assistance! Please be sure to inieate your lunch hour deductions under beaks (example 25, 50,75 1. ‘Once your hours have been entered accurately you may submit your timesheet. Where it reads, SATE SSR SAMTESHRERLOET EEE Choose LV! fom the drop down menu. Nex, cick ASE ‘TIREEREER, Your timesheet has now been transmitted to your manager for his/her approval Once you have submitted your timesheet, changes cannot be made, Any changes need tobe made by your ‘anager prior to their approval ofthe timesheet. ~ ton, SBE, TSR Sem, ath, en cross] men wun] aaa | 8 g moe mam] won 5 oom ag ct ol -O+ 3g