Ponderosa Onboarding

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Step 1 of 17 - 2020 Page 1

Employee Identification / Information

Privacy

Acceptable Image / File (If taking a photo of your Identification Documents, please turn your phone horizontal and fill the entire image area)

🛑 STOP🛑 Unacceptable Image / File (You will have to complete the onboarding form again, and your paycheck may be delayed)

Please use the same acceptable Image / File example above for your Social Security Card

▶ Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay. ▶ Your withholding is subject to review by the IRS.

▶ Does your name match the name on your social security card? If not, to ensure you get credit for your earnings, contact SSA at 800-772-1213 or go to www.ssa.gov.

Select One

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, when to use the online estimator, and privacy.

Step 2: Multiple Jobs or Spouse Works

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

Step 4 (optional): Other Adjustments

Step 5 (This is the signature area.) You will sign on the last page.

I9 Employment Eligibility Verification

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 boxes):

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.

Preparer and/or Translator Certification (check one):

Employment Information

Direct Deposit Authorization