Scribd
Upload
1K views1 page

Employee Information Form Template

This document contains basic employment information for a new employee, including their name, address, phone numbers, email, social security number or government ID, birthdate, marital status, spouse's name and employer if applicable. It also lists the employee's job title, work location, email, phone numbers, start date, salary, emergency contact information, and names and relationships of any dependents for insurance purposes.

Uploaded by

Dave Pagara
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
1K views1 page

Employee Information Form Template

This document contains basic employment information for a new employee, including their name, address, phone numbers, email, social security number or government ID, birthdate, marital status, spouse's name and employer if applicable. It also lists the employee's job title, work location, email, phone numbers, start date, salary, emergency contact information, and names and relationships of any dependents for insurance purposes.

Uploaded by

Dave Pagara
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
You are on page 1/ 1

Basic Employment Information Sheet

Employee Information

Full Name:

Address:

Home Phone: ( ) Cell Phone: ( )

Email Address:

Social Security Number or Government ID:

Birth Date: Marital Status:

Spouse’s Name1:

Spouse’s Employer: Spouse’s Work Phone: ( )

Job Information
Title: Supervisor:

Work Location: E-mail Address:

Work Phone: ( ) Cell Phone: ( )

Start Date: Salary: $

Emergency Contact Information


Full Name:

Address:

Primary Phone: ( ) Cell Phone: ( )

Relationship:

Dependent Information (For insurance purposes only)

Name(s) of Dependent(s) Relationship to Employee

______________________________________ ________________________________

______________________________________ ________________________________

______________________________________ ________________________________

1
A number of jurisdictions now allow domestic partners to register and they are then entitled to many of the
benefits of spouses. If your jurisdiction permits such domestic partnerships, you may modify the form to read
"Spouse/Domestic Partner." Given the proliferation of domestic partnerships, your company should carefully
evaluate its policy with regard to such couples, both opposite-sex and same-sex.

You might also like