Employee Info Employee Info Sheet W-4 Info Step 1: Enter Personal Information(a) First Name and middle initial(Required) First Last Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code (b) Social Security Number(Required)(c) W-4 Filing Status(Required) Single or Married filing seperately Married filling jointly or Qualifying widow(er) Head of household ((Check only if you’re unmarried and pay more than half the costs of keeping up a home for yourself and a qualifying individual.) This info is required for the IRS W4Do you have multiple jobs, a spouse that works, intend on claiming a dependent or making other adjustments to your W4 form? No Yes, please show me those W4 Steps Step 2: Multiple Jobs or Spouse WorksDo you have multiple jobs, or does your Spouse work? Yes No Step 3:Claim DependentsWill your total income be under $200,000 (under $400,000 or less if married filing jointly) Yes No This info is required for the IRS W4Other InfoEmail(Required) Phone(Required)Birth Date(Required) MM slash DD slash YYYY Current Age(Required)Emergency Contact Name(Required) First Last Emergency Contact Phone(Required)Employee Manual AcknowledgmentsEmployee Manual(Required)I have received and read through You're Fired Employee Manual I have Health & Safety Plan(Required)I have been made aware of the hazards related to the Kiln Room (in the Manual). I have read and understand the Health & Safety Plan included in the Manual. I have Job Description(Required)I have been provided with a copy of my Job Description, and I understand my responsibilities. I have Step 5: Employee Signature(Required)Under penalties of perjury, I declare that this certificate (the W4 Info), to the best of my knowledge and belief, is true, correct, and complete.Parents Signature is required accepting all above.(Required)Direct Deposit (Optional, but recommended)Would you like to use Direct Deposit for your paychecks?(Required) Yes No thank you. Mail is fine. (If yes, please have your Banks Routing Number, and your Account Number ready.Bank Name(Required)Bank Routing Number(Required)Account Type(Required) Checking Savings Bank Account Number(Required)
