Step 1 of 17 - 2020 Page 1

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Employee Identification / Information

Please take your time and complete all fields correctly.
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Please RE-ENTER your middle initial only
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Do you have an emergency contact(Required)

Privacy

The documents attached will be used for identity confirmation purposes, and may be used to report work status to government agencies.

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

Good Drivers License

🛑 STOP 🛑

Unacceptable Image / File (You will have to complete the onboarding form again, and your paycheck may be delayed) ***The Image Does Not Fill The Frame*** UNACCEPTABLE!

Bad Drivers License

Max. file size: 256 MB.

Please select a clear photo, scan or original document to upload. Do it right, or do it twice!

Please be sure to enter all characters

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

Max. file size: 256 MB.

Please select a clear photo, scan or original document to upload. Do it right, or do it twice!
You may proceed without uploading this document, however it will be required prior to receiving any compensation. 

Identity Confirmation(Required)
THESE DOCUMENTS WILL BE USED TO CONFIRM YOUR IDENTITY, FOR PAYROLL AND TAX PURPOSES.

▶ 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

Please select one option only. Do NOT select Single and Head of Household.

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. 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 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) Use the estimator at www.irs.gov/W4App (Link Located Below) for most accurate withholding for this step (and Steps 3–4); or

(b) Use the Multiple Jobs Worksheet on page 3 and enter the result in Step 4(c) below for roughly accurate withholding; or

TIP: To be accurate, submit a 2020 Form W-4 for all other jobs. If you (or your spouse) have self-employment income, including as an independent contractor, use the estimator.

Page 2, 3 and 4 of W4 (Please click the page you wish to view) You can also access the Tax Withholding Estimator by clicking the last link below.

IRS W4-Page 1 (For Reference Only)

IRS W4-Page 2 General Instructions

IRS W4-Page 3 Multiple Jobs Worksheet

IRS W4-Page 4 Calculations Sheet

IRS Tax Withholding Estimator

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 income will be $200,000 or less ($400,000 or less if married filing jointly):

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):

1. A citizen of the United States
2. A noncitizen national of the United States (See instructions)
3. A lawful permanent resident
4. An alien authorized to work
Some aliens may write "N/A" in the expiration date field. (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.

Preparer and/or Translator Certification (check one):

(Fields below must be completed and signed when preparers and/or translators assist an employee in completing Section 1.)
I did not use a preparer or translator.
A preparer(s) and/or translator(s) assisted the employee in completing Section 1.
MM slash DD slash YYYY

This is the signature box for any person assisting you with completing this onboarding form.

Employment Information

This will create your employee record for Ponderosa Veternarian Clinic.

This field is automatically populated with the company name for which you are onboarding.
For what position were you hired?
This field is automatically populated with the correct address. You do not need to alter this field.
If the hiring manager has not discussed your starting wage, please ask them for this information before continuing.
This field is automatically populated with the Managers name.

Direct Deposit Authorization

Would You Like Direct Deposit(Required)

Direct Deposit is the preferred means of payment and we ask that you utilize this method if you have a bank account. If you do not have an account, Chime is a simple option. https://www.chime.com/

I authorize my employer to send credit entries (and appropriate debit and adjustment entries), electronically or by any other commercially accepted method, to my account(s) indicated above and to other accounts I identify in the future. This authorizes the financial institution holding the Account to post all such entries. I agree that the ACH transactions authorized herein shall comply with all applicable U.S. Law. This authorization will be in effect until the Company receives a written termination notice from myself and has a reasonable opportunity to act on it.(Required)
Primary Account Type (Checking)
Primary Account Type (Savings)
Primary Account Type (Money Card)
Do you want to use a second account?(Required)
Secondary Account Type (Checking)
Secondary Account Type (Savings)
Secondary Account Type (Money Card)
Secondary Account Type (Money Card)
Max. file size: 256 MB.

A copy of a voided check is recommended to avoid mistakes, however if you do not have a check you may proceed without completing this step. Please be sure your account information is correct.

Please center your check in the frame of your screen prior to taking the photo. Photo should fill the entire screen, and be clear.

This field is for validation purposes and should be left unchanged.
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