This completed form must be submited to the Callos Payroll department immediately upon hire, and prior to new employees starting work.

Reminder, as a protection to our client companies and to Callos, the completed new hire packet including signed application, tax forms, I-9 form, and direct deposit authorization (where applicable) must be completed prior to employees starting work, and the entire packet forwarded to Callos prior to the employee’s first pay.

Name:
Address:
City:
   State:  
Zip:
Phone:
Social Security #:
DOB:
Marital Status:
Single    Married    Married Claiming Single
   
Tax Deductions:
  
Fed:  
 State:  
Taxing District or City
(List Location):
School
(List Location):
   
Date of Hire:
Date Scheduled to
Begin Work:
Department:
Job Title:
Wage:
Work Schedule:
Supervisor:
Employee #:
Badge #:
Worker's Comp Code:
   
 
 
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