Employee New Hire Packet

Employee New Hire Packet

Sign all forms and return to payroll
Employee Information
Personal Information
Legal Name as on SS Card*

First Name and Middle NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone Number
Please enter a valid phone number.
Cell Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Social Security Number*
Birth Date*
Marital Status*
Spouse's Name
Spouse's Employer
Spouse's Work Phone
Emergency Contact Information (please give 2)
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone Number*
Please enter a valid phone number.
Alternate Phone Number
Please enter a valid phone number.
Relationship*
Emergency Contact Information Continued
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone Number
Please enter a valid phone number.
Alternate Phone Number
Please enter a valid phone number.
Relationship

Remember to make a color copy of the following documents & return with this paperwork;
Social Security Card
Driver License
File Upload

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Payroll must have both forms....

Select One*

Single or Married filing separatelyMarried 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. See page 2 for more information on each step, who can claim exemption from withholding, other details, and privacy.
Step 2: Multiple Jobs or Spouse Works
Complete this step if you (1) hold more than one job at a time, or (2) are married filing jointly and your spouse also works. The correct amount of withholding depends on income earned from all of these jobs.
Do only one of the following.
(a) Reserved for future use.
(b) Use the Multiple Jobs Worksheet on page 3 and enter the result in Step 4(c) below; or
(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 generally more accurate than (b) if pay at the lower paying job is more than half of the pay at the higher paying job. Otherwise, (b) is more accurate
(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 . .

option c
TIP: If you have self-employment income, see page 2.

Complete Steps 3-4(b) on Form W-4 for only ONE of these jobs. Leave those steps blank for the other jobs. (Your withholding will be most accurate if you complete Steps 3-4(b) on the Form W-4 for the highest paying job.)
Step 3:Claim Dependents

If your total income will be $200,000 or less ($400,000 or less if married filing jointly):
Multiply the number of qualifying children under age 17 by $2,000
Multiply the number of other dependents by $500
Total for Step 3
Step4(optional):Other Adjustments
(a) 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
(b) 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
(c) Extra withholding. Enter any additional tax you want withheld each pay period
Signature*

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Date*

MonthDayYear
Date
Step 2(b)-Multiple Jobs Worksheet (Keep for your records.)

If you choose the option in Step 2(b) on Form W-4, complete this worksheet (which calculates the total extra tax for all jobs) on only ONE Form W-4. Withholding will be most accurate if you complete the worksheet and enter the result on the Form W-4 for the highest paying job.
Note: If more than one job has annual wages of more than $120,000 or there are more than three jobs, see Pub. 505 for additional tables; or, you can use the online withholding estimator at www.irs.gov/W4App.

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NEED TO ATTACH A VOIDED CHECK OR A BANK DIRECT DEPOSIT LETTER FORM

THE DIRECT DEPOSIT AUTHORIZATION FORM IS ON THE NEXT PAGE

(MANDATORY)

AUTHORIZATION AGREEMENT FOR DIRECT DEPOSITS
I (We) hereby authorize Baptist Sunday School Comm, 71-0295057 hereinafter called COMPANY, to initiate credit entries and to initiate, if necessary, debit entries for any credit entries made in error to my (our) account listed below and the financial institution named below, hereinafter called INSTITUTION, to credit or debit the same to such account.*

Checking AccountSavings Account
Financial Institution Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Routing Number*
Account Number*
Please attach a voided check on the above account in order that we may verify the
numbers provided above.

This authority is to remain in full force and effect until COMPANY has received
written notification from me (or either of us) of its termination in such time and in
such manner as to allow COMPANY and INSTITUTION a reasonable opportunity to
act on it.
Name on Account*

First NameLast Name
Name

First NameLast Name
Signature 1*

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Signature 2

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ELECTRONIC NOTICE FOR PAYROLL DEPOSIT

Since your check is directly deposited into your bank account, we can send your payroll stub on Wednesday for the deposit to be made on Friday; all we need is your email address! Please fill out the email authorization form below and return it to PR Dept.

Must be completed & returned to be paid!
Signature*

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ELECTRONIC W-2 CONSENT FORM
BAPTIST SUNDAY SCHOOL COMMITTEE

ELECTRONIC W-2 CONSENT FORM
The IRS has approved the use of electronic W-2 statements. Instead of a paper copy, Employees must choose to receive their W-2 statement electronically. The advantages of this option are:
- Quicker access to your tax information
- The form is available on any device with internet connection
- It is available to print or re-print for 2 years
By signing this form, you are consenting to receive your W-2 by electronic means only; a paper copy will

not be provided to you. This consent remains in effect indefinitely or until you inform the payer that you

All W-2’s will be electronic and if you do not have a computer to access them, then there will be a computer available at work to print them at no charge.

Please provide/review the following information to ensure proper receipt of the website address, unique login information, and password that will be needed to access your electronic W-2. Keep your file up to date with any email address, home address, PO Box, and/or telephone number changes, as we will need accurate information to notify you when your W-2 is available. Please note that your W-2 will not be emailed to you, simply the required information needed to access it.

To verify, you will be able to access and print the form, go to https://efile.aatrix.com/MAS026 and print the

W-2 sample form. We will notify you when your electronic W-2 is available and will provide the password
Last 4 of SSN*
With this signature, I consent to receive my W-2 electronically from this date forward until I withdraw the consent in writing:
Signature*

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I authorize my spouse/relative to pick up any mail that is in my employee mail box. (Spouse/Relative)
I First Name Last Name authorize my spouse/relative First Name Last Name to pick up any mail that is in my employee mail box.
Signature*

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Signature*

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Signature*

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Background Check & MVR Policy
Offers of employment at BAPTIST SUNDAY SCHOOL COMMITTEE are contingent upon clear results of a background check starting November 14,2022. For current employees holding specific positions, job-related background searches may also be conducted for positions for which operating a motor vehicle is required, a motor vehicle check (MVR) will be conducted)

Background checks may include but not limited to:

•Social Security Verification: validates the applicant's Social Security number, date of birth and former addresses.
•Prior Employment Verification: confirms applicant's employment with the listed companies, including dates of employment, position held and additional information available pertaining to performance rating, reason for departure and eligibility for rehire. This verification will be run on the past two employers or the previous five years, whichever comes first.
•Personal and Professional References: calls will be placed to individuals listed as references by the applicant.
•Educational Verification: confirms the applicant's claimed educational institution, including the years attended and the degree/diploma received.
•Criminal History: includes review of criminal convictions and probation. The following factors will be considered for applicants with a criminal history:

The nature of the crime and its relationship to the position.
o The time since the conviction.
o The number (if more than one) of convictions.
o Whether hiring, transferring, or promoting the applicant would pose an unreasonable risk to the business, its employees or its customers and vendors.

•Motor Vehicle Records: provides a report on an individual's driving history in the state requested. This search will be run when driving is an essential requirement of the position.
•Credit History: confirms candidate's credit history. This search will be run for positions that involve management of BAPTIST SUNDAY SCHOOL COMMITTEE funds and/or handling of cash or credit cards.
Signature*

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MVR Policy
Baptist Sunday School Committee policy requires that every employee or volunteer with driving duties has a motor vehicle record (MVR) meeting the grading requirements below. This MVR policy applies both to drivers of organization-owned vehicles, as well as employees or volunteers using personal vehicles in the course of
the organization's business.

MVRs will be examined prior to the start of employment or driving volunteer service, and annually thereafter. Any job offer made to an employee candidate for a position with driving duties shall be contingent upon an MVR meeting these required standards.
All drivers must have:

1.Valid driver’s license for the state in which the driver resides.

2.At least five years of driving experience.

3.An acceptable MVR based on the table below using the most recent (three or five) years’experience. Any serious violation during the time of the MVR is considered unacceptable. Serious violations may vary by state. Typically, these include:

•Excessive speeding.

•Operating the vehicle under the influence of alcohol or narcotics, or refusal of chemical test.

•Driving with a suspended, revoked or invalid license.

•Reckless driving or negligent driving.

•Speed racing or drag racing.

•Hit and run, leaving the scene of an accident.

•Refusing to stop or fleeing from a law enforcement officer.

•Vehicular homicide, manslaughter or assault with an automobile.

4.Drivers that fall into the Borderline category may be deemed acceptable subject to managementdiscretion based on specific circumstances involved with the violation or accidents. In these cases,a provisionary Driver Authorization may be granted with appropriate documentation of the factssupporting the decision.

5.Driving records must remain “acceptable” no more than 3 minor driving violations and/oraccidents combined within the last 3 years as shown in the table below:
Employee Signature*

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BACKGROUND SCREENING DISCLOSURE AND AUTHORIZATION

Applicants: Please read the following statements carefully
NOTICE

In connection with your application for or continued employment Baptist Sunday School Committee (“Company”) may order a background report (“consumer report”) or an “investigative consumer report”. These reports may be obtained at any time after receipt of your signed authorization and, if you are hired by Company, throughout your employment where permissible by law. These reports may contain information about your character, general reputation and/or mode of living and may include information including, but not limited to: social security number verification, criminal/civil records, driving records, employment and education history, professional licensing/certifications, credit reports, and drug testing results.

Investigative consumer reports are consumer reports gathered from personal interviews with sources such as your neighbors, friends, or associates. You have the right, upon written request made within a reasonable time after receipt of this notice to ask the Company to disclose the nature and scope of any investigative consumer report. You also may request a copy of that report from the Company. A disclosure regarding the nature and scope of an investigative consumer report shall be made in writing and delivered to you by the Company no later than five days after (i) the date on which your request for the disclosure was received or (ii) the date on which the investigative consumer report was first requested, whichever is later.
LS Screening, LLC, (”LSS”), a Consumer Reporting Agency, will prepare the consumer report. They may be contacted at:

PO Box 3051

Forney, TX 75126

(800) 755-3392 Voice/(800) 283-4883 Fax

Per the Fair Credit Reporting Act, you may be entitled to a copy of the report. The Fair Credit Reporting Act gives you specific rights in dealing with Consumer Reporting Agencies. You will find these rights summarized in A Summary of Your Rights Under the Fair Credit Reporting Act. A copy of that document can be found at http://files.consumerfinance.gov/f/201410_cfpb_summary_your-rights-under-fcra.pdf

STATE LAW NOTICES
If you live or work for the Company in the states listed below, please note the following:

Minnesota applicants only: You have the right, upon written request to LSS, to receive a complete and accurate disclosure of the nature and scope of any consumer report. LSS must make this disclosure within five days of your request for disclosure or of the Company’s request for the report, whichever is later.

New Jersey applicants: If you submit a request to us in writing, you have the right to know whether the Company ordered an investigative consumer report from LSS. You may inspect and order a free copy of the report by contacting LSS.

New York applicants: If you submit a request to us in writing, you have the right to know whether the Company ordered an investigative consumer report from LSS, and you will be provided with the name and address of LS Screening. You may inspect and order a free copy of the report by contacting LSS. By signing below, you certify that you have received a copy of New York Correction Law 23-A.

Washington State applicants: If the Company requests an investigative consumer report, you have the right, upon written request made to the Company within a reasonable period of time after your receipt of this disclosure, to receive from the Company a complete and accurate disclosure of the nature and scope of the investigative consumer report requested by the Company. You also have the right to ask LSS for a written summary of your rights under the Washington Fair Credit Reporting Act.
Minnesota / Oklahoma applicants: You have the right to receive a copy of your consumer/investigative consumer report by checking “Yes” below. Please check the appropriate box if you would like to receive a free copy of your consumer report.

YesNo
ACKNOWLEDGMENT AND AUTHORIZATION FOR BACKGROUND REPORTS
By providing the requested information and signing below, I acknowledge receipt of the Background Screening Disclosure and Authorization Notice, A Summary of Your Rights under the Fair Credit Reporting Act (available at http://files.consumerfinance.gov/f/201410_cfpb_summary_your-rights-under-fcra.pdf) and any other document referenced in this Background Screening Disclosure and Authorization Notice and certify that I have read and understand all of those documents provided to me by the Company. By my signature below I hereby authorize the Company to obtain consumer reports and/or investigative consumer reports for employment purposes at any time after receipt of this authorization and, if I am hired, throughout my employment. To this end I hereby authorize, without reservation, any law enforcement agency, administrator, state or federal agency, institution, school or university (public or private), information service bureau, employer, or insurance company to furnish any and all background information requested by LS Screening, PO Box 3051, Forney TX 75126, (800) 755-3392 Voice/(800) 283-4883 Fax. I agree that a facsimile (fax), electronic or photographic copy of this Authorization shall be as valid as the original.

I understand that signing my name below, constitutes my consent and that by doing so: I am acknowledging Company has disclosed that they may request a consumer report or investigative consumer report; that I am authorizing LS Screening to conduct the background check(s) described above; and I certify that facts and information in this form and any attachments I have provided are true, accurate, and complete to the best of my knowledge.
Driver's License #*
State of Issuance*
Signature*

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Drug and Alcohol Policy Certificate of Receipt
I hereby certify that I have received a copy of BAPTIST SUNDAY SCHOOL COMMITTEE Drug and Alcohol Policy.
Signature

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Should be Empty:

Employee Information

Personal Information

Emergency Contact Information (please give 2)

Emergency Contact Information Continued

Social Security Card

Driver License

Step 3:Claim Dependents

Step4(optional):Other Adjustments

(MANDATORY)

ELECTRONIC W-2 CONSENT FORM

BAPTIST SUNDAY SCHOOL COMMITTEE

State of Arkansas

STATE OF ARKANSAS

How to Claim Your Withholding

Background Check & MVR Policy

MVR Policy

BACKGROUND SCREENING DISCLOSURE AND AUTHORIZATION

ACKNOWLEDGMENT AND AUTHORIZATION FOR BACKGROUND REPORTS

Drug and Alcohol Policy Certificate of Receipt