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Employee Record Template Form

Employee_Record form

Uploaded by

Jackie van Zyl
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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27 views1 page

Employee Record Template Form

Employee_Record form

Uploaded by

Jackie van Zyl
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

Employee Record

First Name Middle Name Last Name Social Security Number Home Telephone Official Telephone

Date Of Birth Ag Will Be 65 On Dependents Education Years Attended


MM DD YY e M DD YY Elementary
M High School
Mailing Address City State Zip Trade School
College
Residing At: Distance Ed.
Other
In Case Of Emergency, Notify: Phone Numbers Of Emergency Contacts:

Misc. Information
Sex: Male □ Female □ Marital Status : Married □ Single □ Divorced

□
Spouse’s Name Date Of Birth Medical Conditions

General Health Height Weight Hair Color Eye Color

Union Affiliation Job Classification And Grade

Insurance Pension/401(k) Other


Eligibility Date

Worked Worked Starting Ending Reason For


Previous Employer Position References
From Till Wage Wage Leaving

Comments:

Hired By: Date: Project Or Location:

Termination Information
Termination Date From Project / Location Terminated By Recommended For Re-
Employment?
Yes □ | No □
Notes / Comments:

[Link]

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