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2022-02-15T06:51:20+00:00
IRS i9 Form
IRS W4 Form
WOTC Form
TRION Form
IRS i9 Form
IRS Form I-9 | Employment Eligibility Verification
Please read the IRS Form I-9 Employment Eligibility Verification instructions carefully before completing this form. Click here to download the
IRS Form I-9 instructions
.
ANTI-DISCRIMINATION NOTICE:
It is illegal to discriminate against work-authorized individuals. Employers CANNOT specify which document(s) they will accept from an employee. The refusal to hire an individual because the documents have a future expiration date may also constitute illegal discrimination.
Section 1. Employee Information and Attestation (Employees must complete and sign Section 1 of Form I-9 no later than the first day of employment , but not before accepting a job offer.)
Name
*
First
Last
Middle Initial
Other Names Used (if any)
Address
Street Address
Apt #
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Date of Birth
*
MM slash DD slash YYYY
U.S. Social Security Number
*
Email Address
Telephone Number
*
I am aware that federal law provides for imprisonment and/or fines for false statements or use of false documents in connection with the completion of this form.
I attest, under penalty of perjury, that I am (check one of the following):
*
A citizen of the United States
A noncitizen national of the United States (See instructions)
A lawful permanent resident
An alien authorized to work until
Alien Registration Number/USCIS Number
*
Expiration date, if applicable
MM slash DD slash YYYY
Some aliens may write "N/A" in this field. If so, leave this field blank. (See instructions)
Aliens authorized to work must provide only one of the following document numbers to complete Form I-9: An Alien Registration Number/USCIS Number OR Form I-94 Admission Number OR Foreign Passport Number:
*
I will provide Alien Registration Number/USCIS Number
I will provide Form I-94 Admission Number
I will provide a Foreign Passport Number
Alien Registration Number/USCIS Number
*
Form I-94 Admission Number
*
Did you obtain your admission number from CBP in connection with your arrival in the United States
Yes
No
Please enter your Foreign Passport Number
Country of Issuance
Some aliens may write "N/A" on the Foreign Passport Number and Country of Issuance fields. (See instructions)
Signature of Employee
*
If you are on a mobile device, turn your device to display a larger signature area.
Date
*
MM slash DD slash YYYY
Preparer and/or Translator Certification
To be completed and signed if Section 1 is prepared by a person other than the employee.
I attest, under penalty of perjury, that I have assisted in the completion of this form and that to the best of my knowledge the information is true and correct.
Signature of preparer or translator
If you are on a mobile device, turn your device to display a larger signature area.
Date
MM slash DD slash YYYY
Name
First
Last
Address
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
IRS W4 Form
IRS Form W-4 | Employee's Withholding Allowance Certificate
Please read the IRS Form W-4 Employee's Withholding Allowance Certificate instructions carefully before completing this form.
Click here to download the IRS Form W-4 instructions
.
Whether you are entitled to claim a certain number of allowances or exemption from withholding is subject to review by the IRS. Your employer may be required to send a copy of this form to the IRS. TIP: Use the downloaded document to get the information for this form.
Step 1: Enter Personal Information
Name
*
First Name and Middle Initial
Last Name
Your Social Security Number
*
Address
*
Home Address (number and street or rural route)
City or Town, State and ZIP code
Marital Status
*
Single or Married filing separately
Married filing 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.)
Complete Steps 2–4 ONLY if they apply to you; otherwise, skip to Step 5.
Step 2: Multiple Jobs or Spouse Works
Multiple Jobs or Spouse Works
Yes
(c) If there are only two jobs total, you may check this box. Do the same on Form W-4 for the other job. This option is accurate for jobs with similar pay; otherwise, more tax than necessary may be withheld:
Step 3: Claim Dependents
Will your income be $200,000 or less ($400,000 or less if married filing jointly)?
No
Yes
Number of children under age 17
*
Number of other dependents age 17 or over?
*
Hidden
Number of children calculation
*
Hidden
Number of other dependents calculation
*
Hidden
(3) Add the amounts above and enter the total here
Total calculated dependents.
Step 4: Other Adjustments
(Optional)
Other income (not from jobs)
If you want tax withheld for other income you expect this year that won’t have withholding, enter the amount of other income here. This may include interest, dividends, and retirement income:
Deductions
If you expect to claim deductions other than the standard deduction and want to reduce your withholding, use the Deductions Worksheet on page 3 and enter the result here
Extra withholding
Enter any additional tax you want withheld each pay period
Step 5: Sign Here
Under penalties of perjury, I declare that I have examined this certificate and, to the best of my knowledge and belief, it is true, correct, and complete.
Employee's Signature
*
*This form is not valid unless you sign it. If you are on a mobile device, turn your device to display a larger signature area.
Date
*
MM slash DD slash YYYY
*If you do not see the "NEXT" button, there is a field that you did not fill in or check a box. Please review the page.
WOTC Form
Work Opportunity Tax Credit Program (WOTC)
Our company participates in the Work Opportunity Tax Credit Program. Your responses to the following questions will be confidential and used only to assist us in complying with the requirements of this program. Your answers will not affect your employment or any benefits you may be receiving. Thank you for your cooperation!
Name
Address
*
Street Address
City
State
Zip Code
Phone
*
Social Security #
*
Date of Birth
*
MM slash DD slash YYYY
Position
Wage
Hire Date
MM slash DD slash YYYY
Have you worked for this employer before?
*
Yes
No
Have you, or any immediate member of your family, EVER received Temporary Assistance to Needy Families (TANF, Welfare)?
*
Yes
No
Have you, or a member of your family, received Supplemental Nutrition Assistance Program (SNAP) benefits (FOOD STAMPS) ANYTIME over the last 6 months?
*
Yes
No
Have you been unemployed for the last 6 months AND received unemployment compensation at ANY TIME?
*
Yes
No
Have you personally received Supplemental Security Income (SSI) or (SSDI) Supplemental Security Disability Income anytime during the last 2 months?
*
Yes
No
Have you participated in a rehab program approved by the state, the Ticket to Work program, or the Department of Veterans Affairs.
*
Yes
No
Are you a Veteran of the United States Armed Forces
*
Yes
No
Are you a Veteran who received Supplemental Nutrition Assistance Program (SNAP) benefits (FOOD STAMPS) ANYTIME over the last 6 months.
*
Yes
No
Are you a Veteran who was unemployed for more than 4 weeks, but less than 6 months, during the past year
*
Yes
No
Are you a Veteran who was unemployed for more than 6 months during the past year.
*
Yes
No
Are you a Veteran discharged from active duty within the last 12 months and entitled to compensation for a service connected disability.
*
Yes
No
Are you a Veteran receiving compensation for a service connected disability who was unemployed for at least 6 months during the last 12 months.
*
Yes
No
During the last 12 months, were you convicted of a felony or released from prison for a felony.
*
Yes
No
Hidden
Have you worked for this employer before? - Depreciated
Yes
No
Hidden
Have you, or a member of your family, received Supplemental Nutrition Assistance Program (SNAP) benefits (FOOD STAMPS) ANYTIME over the last 6 months? - Depreciated
Yes
No
Hidden
Have you been unemployed for the last 6 months AND received unemployment compensation at ANY TIME? - Depreciated
Yes
No
Hidden
Have you personally received Supplemental Security Income (SSI) or (SSDI) Supplemental Security Disability Income anytime during the last 2 months. - Depreciated
Yes
No
Hidden
Have you participated in a rehab program approved by the state, the Ticket to Work program, or the Department of Veterans Affairs. - Depreciated
Yes
No
Hidden
Are you a Veteran of the United States Armed Forces - Depreciated
Yes
No
Hidden
Are you a Veteran who received Supplemental Nutrition Assistance Program (SNAP) benefits (FOOD STAMPS) ANYTIME over the last 6 months. - Depreciated
Yes
No
Hidden
Are you a Veteran who was unemployed for more than 4 weeks, but less than 6 months, during the past year - Depreciated
Yes
No
Hidden
Are you a Veteran who was unemployed for more than 6 months during the past year. - Depreciated
Yes
No
Hidden
Are you a Veteran discharged from active duty within the last 12 months and entitled to compensation for a service connected disability. - Depreciated
Yes
No
Hidden
Are you a Veteran receiving compensation for a service connected disability who was unemployed for at least 6 months during the last 12 months. - Depreciated
Yes
No
Hidden
During the last 12 months, were you convicted of a felony or released from prison for a felony. - Depreciated
Yes
No
I agree that I am voluntarily providing the information on this form and it is not a condition of employment. My signature authorizes the release of information to the Department of Veterans Affairs, Department of Health and Human Services, Social Security Administration, and other Federal State, and local governments agencies to release information to the client., to verify my eligibility for WOTC. I authorize this form to assist in the completion of IRS Form 8850 and ETA Form 9061. Under penalties of perjury, I declare I provided the information on this form on or before the day a job was offered and that the information I have furnished is, to the best of my knowledge, true, correct, and complete.
Signature
Date
MM slash DD slash YYYY
TRION Form
Step
1
of
2
50%
Employee Information
Name
First
Middle
Last
Social Security Number:
Email Address:
Address:
Address
City
State
Zip
Apt. No.
Home Phone Number:
Cell Phone Number:
Emergency Contact:
First
Last
Relationship
i.e. Spouse,Parent,Child
Daytime Phone Number:
Evening Phone Number:
Co-Employemnt.
Your Worksite Employer and Trion Solutions, Inc. or one of its affiliates (“Trion”) have entered d into a Professional Employer Services Agreement (the Agreement”) that create s a co‐employment relationship bet tween your Works site Employer, Trio on and you by assigning certain hum man resource related functions to Trion. “Agreement This is a an ongoing relationship rather than temporary or project‐specific one, wherein the r rights, duties and d obligations of the employment relationship have been allocate d between Trion a and your Worksite Employer. Your Worksite Employer retains direction and control over your duties as is s necessary to conduct its business and comply with licensing and regulatory laws. .Trion, as the administrative co‐employer, assumes responsibility for r the payment of your wages, payroll taxes and benefits provided by the Worksite Employer, and re serves the right, a along with your Woorksite Employer, to hire, terminate e, discipline and enforce employment and safety policies. The Worksite Employer is s solely responsible for compliance with all federal, state and local law regarding employment, including but not limited to, discrimination and hour laws and regulations.
Arbitration and Limitatio on Period.
I agree that any dispute regarding my employment with the Worksite Employer, Trion and their shareholders,directors, officerrs or employees will be submitted and resolved by binding arbitration before the American Arbitraation Association (“AAA”) in accord dance with its Employment Arbitration Rules and Mediation Procedures. The arbitrator may award attorney’s fees to the prevailing pa arty and all costs a and expenses of the arbitration shall be allocated among the part ties according to t he arbitrator’s disscretion. The parties shall be entitled to discovery in n accordance with the Federal Rules s of Civil Procedure and the arbitrattor’s award may be entered as a final judgment in any court havinng jurisdiction and enforced in accorrdance with the arbitration award.Any claims for workers’ compensation,employment benefits, welfare and pens ion benefits or claims under Section 7 of the National Labor Relations s Act are excluded d from this provision. I agree not to file any claim with the Worksite Employer or Trion more than 182 calendar days after the event,practice or action complained of, and or suit relating to my employment agree to waive any state or federal statutes s of limitation to the contrary.
South Carolina Employees:
Trion is a regulated PEO pursuant to the State’s statutes and regulations. If you have e any questions or complaints regarding this relationship you may contact:
Carolina a Department of Consumer Affairs, 2221 Devine Street, Suite 200, Columbia, South Carolina, 29205. (803) 734‐4200.
www.consumer.sc.gov
.
Signature
Date
MM slash DD slash YYYY
ELECTRONIC PAY AUTHORIZATION FORM
EMPLOYEE INFORMATION SECTION ( * These are required fields to enroll in direct deposit)
Employee Name:
*
Client Name:
*
Social Security Number
*
Date of Birth:
*
MM slash DD slash YYYY
Primary Phone Number (with area code)
*
Address:
Address
City
State
Zip Code
E-Mail Address:
Post Tags
Add my bank account(s)
Employees may choose to deposit amounts in up to four different accounts below.
Change my bank account(s)
Please allow 2 pay periods for processing changes.
Cancel all account(s)
This will cancel all electronic deposits and a paper check will be issued. Allow 48 hours for cancellations
Issue me a VISA Pay - card
Everyone is eligible.
Check One
add account
change
cancel
Nine Digit Routing Number
Account Number
Check
Checking
Savings
Example: $100.00 or 100%
Amount
Percentage
Check One
add account
change
cancel
Nine Digit Routing Number
Account Number
Check
Checking
Savings
Example: $100.00 or 100%
Amount
Percentage
Check One
add account
change
cancel
Nine Digit Routing Number
Account Number
Check
Checking
Savings
Example: $100.00 or 100%
Amount
Percentage
Check One
add account
change
cancel
Nine Digit Routing Number
Account Number
Check
Checking
Savings
Example: $100.00 or 100%
Amount
Percentage
Visa Pay-Card-When traveling out of state contact card company to alert them otherwise your card will not work.
Nine Digit Routing Number
*
Account Number
*
Check
*
Checking
Example: $100.00 or 100%
*
Amount
Percentage
By signing below, I authorize Trion Solutions, Inc. and the financial institution(s) listed belo w to deposit my paycheck automatically and when necessary, to facilitate debit entries for funds erroneously deposited.
I also understand that my request(s) related to direct deposit may take two to three pay periods to activate.
This authorization supersedes any previous payroll deduction distribution form and will remain in effect until I can cancel in writing. I understand that all direct deposits are made through the Automated Clearing House (ACH), that the funds’ availability is subject to the term and limitations of the ACH as well as my financial institution, and that the ACH process can take 48 hours to complete, excluding weekends and holidays. If electing the Pay-card option, a Welcome Kit will be mailed to me detailing all of the benefits, terms and conditions. There is no approval or application process. I am automatically eligible and there is no monthly fee, as long as I am co-employed through Trion Solutions Inc.
Signature
Date
MM slash DD slash YYYY
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