New hire employee information form

Here is a sample new hire employee information form:

Employee Information Form

Employee Name: __ Date of Hire: __ Job Title: __ Department: __ Supervisor: __

Personal Information:

• Address: __
• City: __
• State: __
• Zip: __
• Phone Number: __
• Email: __
• Emergency Contact: __
• Relationship: __

Identification:

• Social Security Number: __
• Driver's License Number: __
• State: __

Benefits Information:

• Health Insurance: __
• Dental Insurance: __
• Vision Insurance: __
• Life Insurance: __
• Disability Insurance: __
• Retirement Plan: __

Tax Information:

• W-4 Form: __
• State Tax Withholding: __
• Local Tax Withholding: __

Other Information:

• Previous Work Experience: __
• Education: __
• Skills: __
• Special Requests: __

Authorization:

• I hereby authorize [Company Name] to verify the information provided above.
• I understand that providing false information may result in disciplinary action, up to and including termination.

Signature: __ Date: __

Note: This is a sample form and should be reviewed and customized to fit your company's specific needs and compliance requirements. It's also a good idea to have a lawyer review the form to ensure it complies with all applicable laws and regulations.