DEAR EMPLOYEE,
PLEASE FILL IN THE FOLLOWING INFORMATION SO WE CAN SUBMIT IT TO THE PAYROLL COMPANY. (SURE PAYROLL)
“CONFIDENTIALITY IS ASSURED”First Name:___________________ Last Name:____________________
Date of Birth:_________________ Social Security #:_______________ Email:_______________________ Telephone:_______________
Address:_____________________ City:______________
State:_______________________ Zip:________________
Gender: Please circle: Male Female
DIRECT DEPOSIT INFORMATION:Circle: Savings Checking Routing Number (9 digits):________________ Account Number:______________ Bank:______________
You will be classified as 1099 whereby no deductions will be made from your payroll. All your earnings will be deposited to your bank account.
Once you have filled in all the above, please download it and email to : MRMARTIN7@OUTLOOK.COM. The above confidential information will also be forwarded to the Payroll company.