| Employee SSN: |
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111223333 |
| Department: |
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Payroll & Systems Admin (00635) |
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First Name: |
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The name fields must be entered in upper and lower case format (First M Last). The name should be entered as it appears on the employee's Social Security Card. |
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Middle Name: |
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Last Name: |
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Suffix: |
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Effective Date: |
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(use format mm/dd/ccyy) |
Hire Date (mmddyyyy) |
| Action: |
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Hire |
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Action Reason: |
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New Position or Replacement |
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Contract Type: |
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Contract Type is used for Salary Staff working less than 12 months. |
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Check delivery: |
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(lookup from list) |
The check delivery code is for HR & Payroll Systems use only. |
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Position Number: |
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(lookup from list) |
Click on "lookup from list" to get a list of the Position Numbers. |
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Position Number Override: |
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| or |
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Job Code: |
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(lookup from list) |
If a Position Number was used, leave blank. |