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The Personnel Form 1 Business/Services Section

Montana Personnel Form

The purpose of this form is to provide a central record of the hiring, job advancement, and end of employment of any employee. This form should be completed upon the hiring of any employee and should be periodically updated as required. The following information is gathered on this form: • Name, address, and phone of employee • Social Security number of employee • Date hired and starting salary • W-4 form completion and number of dependents • Any changes in salary • Any changes in job position • Date and reason for leaving employment • Eligibility for rehiring • Signature of employer • Signature of employee upon separation This form may be used in Montana.

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Nebraska Personnel Form

The purpose of this form is to provide a central record of the hiring, job advancement, and end of employment of any employee. This form should be completed upon the hiring of any employee and should be periodically updated as required. The following information is gathered on this form: • Name, address, and phone of employee • Social Security number of employee • Date hired and starting salary • W-4 form completion and number of dependents • Any changes in salary • Any changes in job position • Date and reason for leaving employment • Eligibility for rehiring • Signature of employer • Signature of employee upon separation This form may be used in Nebraska.

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Nevada Personnel Form

The purpose of this form is to provide a central record of the hiring, job advancement, and end of employment of any employee. This form should be completed upon the hiring of any employee and should be periodically updated as required. The following information is gathered on this form: • Name, address, and phone of employee • Social Security number of employee • Date hired and starting salary • W-4 form completion and number of dependents • Any changes in salary • Any changes in job position • Date and reason for leaving employment • Eligibility for rehiring • Signature of employer • Signature of employee upon separation This form may be used in Nevada.

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New Hampshire Personnel Form

The purpose of this form is to provide a central record of the hiring, job advancement, and end of employment of any employee. This form should be completed upon the hiring of any employee and should be periodically updated as required. The following information is gathered on this form: • Name, address, and phone of employee • Social Security number of employee • Date hired and starting salary • W-4 form completion and number of dependents • Any changes in salary • Any changes in job position • Date and reason for leaving employment • Eligibility for rehiring • Signature of employer • Signature of employee upon separation This form may be used in New Hampshire.

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New Jersey Personnel Form

The purpose of this form is to provide a central record of the hiring, job advancement, and end of employment of any employee. This form should be completed upon the hiring of any employee and should be periodically updated as required. The following information is gathered on this form: • Name, address, and phone of employee • Social Security number of employee • Date hired and starting salary • W-4 form completion and number of dependents • Any changes in salary • Any changes in job position • Date and reason for leaving employment • Eligibility for rehiring • Signature of employer • Signature of employee upon separation This form may be used in New Jersey.

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New Mexico Personnel Form

The purpose of this form is to provide a central record of the hiring, job advancement, and end of employment of any employee. This form should be completed upon the hiring of any employee and should be periodically updated as required. The following information is gathered on this form: • Name, address, and phone of employee • Social Security number of employee • Date hired and starting salary • W-4 form completion and number of dependents • Any changes in salary • Any changes in job position • Date and reason for leaving employment • Eligibility for rehiring • Signature of employer • Signature of employee upon separation This form may be used in New Mexico.

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New York Personnel Form

The purpose of this form is to provide a central record of the hiring, job advancement, and end of employment of any employee. This form should be completed upon the hiring of any employee and should be periodically updated as required. The following information is gathered on this form: • Name, address, and phone of employee • Social Security number of employee • Date hired and starting salary • W-4 form completion and number of dependents • Any changes in salary • Any changes in job position • Date and reason for leaving employment • Eligibility for rehiring • Signature of employer • Signature of employee upon separation This form may be used in New York.

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North Carolina Personnel Form

The purpose of this form is to provide a central record of the hiring, job advancement, and end of employment of any employee. This form should be completed upon the hiring of any employee and should be periodically updated as required. The following information is gathered on this form: • Name, address, and phone of employee • Social Security number of employee • Date hired and starting salary • W-4 form completion and number of dependents • Any changes in salary • Any changes in job position • Date and reason for leaving employment • Eligibility for rehiring • Signature of employer • Signature of employee upon separation This form may be used in North Carolina.

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North Dakota Personnel Form

The purpose of this form is to provide a central record of the hiring, job advancement, and end of employment of any employee. This form should be completed upon the hiring of any employee and should be periodically updated as required. The following information is gathered on this form: • Name, address, and phone of employee • Social Security number of employee • Date hired and starting salary • W-4 form completion and number of dependents • Any changes in salary • Any changes in job position • Date and reason for leaving employment • Eligibility for rehiring • Signature of employer • Signature of employee upon separation This form may be used in North Dakota.

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Ohio Personnel Form

The purpose of this form is to provide a central record of the hiring, job advancement, and end of employment of any employee. This form should be completed upon the hiring of any employee and should be periodically updated as required. The following information is gathered on this form: • Name, address, and phone of employee • Social Security number of employee • Date hired and starting salary • W-4 form completion and number of dependents • Any changes in salary • Any changes in job position • Date and reason for leaving employment • Eligibility for rehiring • Signature of employer • Signature of employee upon separation This form may be used in Ohio.

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Oklahoma Personnel Form

The purpose of this form is to provide a central record of the hiring, job advancement, and end of employment of any employee. This form should be completed upon the hiring of any employee and should be periodically updated as required. The following information is gathered on this form: • Name, address, and phone of employee • Social Security number of employee • Date hired and starting salary • W-4 form completion and number of dependents • Any changes in salary • Any changes in job position • Date and reason for leaving employment • Eligibility for rehiring • Signature of employer • Signature of employee upon separation This form may be used in Oklahoma.

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Oregon Personnel Form

The purpose of this form is to provide a central record of the hiring, job advancement, and end of employment of any employee. This form should be completed upon the hiring of any employee and should be periodically updated as required. The following information is gathered on this form: • Name, address, and phone of employee • Social Security number of employee • Date hired and starting salary • W-4 form completion and number of dependents • Any changes in salary • Any changes in job position • Date and reason for leaving employment • Eligibility for rehiring • Signature of employer • Signature of employee upon separation This form may be used in Oregon.

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Pennsylvania Personnel Form

The purpose of this form is to provide a central record of the hiring, job advancement, and end of employment of any employee. This form should be completed upon the hiring of any employee and should be periodically updated as required. The following information is gathered on this form: • Name, address, and phone of employee • Social Security number of employee • Date hired and starting salary • W-4 form completion and number of dependents • Any changes in salary • Any changes in job position • Date and reason for leaving employment • Eligibility for rehiring • Signature of employer • Signature of employee upon separation This form may be used in Pennsylvania.

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Rhode Island Personnel Form

The purpose of this form is to provide a central record of the hiring, job advancement, and end of employment of any employee. This form should be completed upon the hiring of any employee and should be periodically updated as required. The following information is gathered on this form: • Name, address, and phone of employee • Social Security number of employee • Date hired and starting salary • W-4 form completion and number of dependents • Any changes in salary • Any changes in job position • Date and reason for leaving employment • Eligibility for rehiring • Signature of employer • Signature of employee upon separation This form may be used in Rhode Island.

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South Carolina Personnel Form

The purpose of this form is to provide a central record of the hiring, job advancement, and end of employment of any employee. This form should be completed upon the hiring of any employee and should be periodically updated as required. The following information is gathered on this form: • Name, address, and phone of employee • Social Security number of employee • Date hired and starting salary • W-4 form completion and number of dependents • Any changes in salary • Any changes in job position • Date and reason for leaving employment • Eligibility for rehiring • Signature of employer • Signature of employee upon separation This form may be used in South Carolina.

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South Dakota Personnel Form

The purpose of this form is to provide a central record of the hiring, job advancement, and end of employment of any employee. This form should be completed upon the hiring of any employee and should be periodically updated as required. The following information is gathered on this form: • Name, address, and phone of employee • Social Security number of employee • Date hired and starting salary • W-4 form completion and number of dependents • Any changes in salary • Any changes in job position • Date and reason for leaving employment • Eligibility for rehiring • Signature of employer • Signature of employee upon separation This form may be used in South Dakota.

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Tennessee Personnel Form

The purpose of this form is to provide a central record of the hiring, job advancement, and end of employment of any employee. This form should be completed upon the hiring of any employee and should be periodically updated as required. The following information is gathered on this form: • Name, address, and phone of employee • Social Security number of employee • Date hired and starting salary • W-4 form completion and number of dependents • Any changes in salary • Any changes in job position • Date and reason for leaving employment • Eligibility for rehiring • Signature of employer • Signature of employee upon separation This form may be used in Tennessee.

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Texas Personnel Form

The purpose of this form is to provide a central record of the hiring, job advancement, and end of employment of any employee. This form should be completed upon the hiring of any employee and should be periodically updated as required. The following information is gathered on this form: • Name, address, and phone of employee • Social Security number of employee • Date hired and starting salary • W-4 form completion and number of dependents • Any changes in salary • Any changes in job position • Date and reason for leaving employment • Eligibility for rehiring • Signature of employer • Signature of employee upon separation This form may be used in Texas.

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Utah Personnel Form

The purpose of this form is to provide a central record of the hiring, job advancement, and end of employment of any employee. This form should be completed upon the hiring of any employee and should be periodically updated as required. The following information is gathered on this form: • Name, address, and phone of employee • Social Security number of employee • Date hired and starting salary • W-4 form completion and number of dependents • Any changes in salary • Any changes in job position • Date and reason for leaving employment • Eligibility for rehiring • Signature of employer • Signature of employee upon separation This form may be used in Utah.

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Vermont Personnel Form

The purpose of this form is to provide a central record of the hiring, job advancement, and end of employment of any employee. This form should be completed upon the hiring of any employee and should be periodically updated as required. The following information is gathered on this form: • Name, address, and phone of employee • Social Security number of employee • Date hired and starting salary • W-4 form completion and number of dependents • Any changes in salary • Any changes in job position • Date and reason for leaving employment • Eligibility for rehiring • Signature of employer • Signature of employee upon separation This form may be used in Vermont.

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Virginia Personnel Form

The purpose of this form is to provide a central record of the hiring, job advancement, and end of employment of any employee. This form should be completed upon the hiring of any employee and should be periodically updated as required. The following information is gathered on this form: • Name, address, and phone of employee • Social Security number of employee • Date hired and starting salary • W-4 form completion and number of dependents • Any changes in salary • Any changes in job position • Date and reason for leaving employment • Eligibility for rehiring • Signature of employer • Signature of employee upon separation This form may be used in Virginia.

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Washington Personnel Form

The purpose of this form is to provide a central record of the hiring, job advancement, and end of employment of any employee. This form should be completed upon the hiring of any employee and should be periodically updated as required. The following information is gathered on this form: • Name, address, and phone of employee • Social Security number of employee • Date hired and starting salary • W-4 form completion and number of dependents • Any changes in salary • Any changes in job position • Date and reason for leaving employment • Eligibility for rehiring • Signature of employer • Signature of employee upon separation This form may be used in Washington.

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West Virginia Personnel Form

The purpose of this form is to provide a central record of the hiring, job advancement, and end of employment of any employee. This form should be completed upon the hiring of any employee and should be periodically updated as required. The following information is gathered on this form: • Name, address, and phone of employee • Social Security number of employee • Date hired and starting salary • W-4 form completion and number of dependents • Any changes in salary • Any changes in job position • Date and reason for leaving employment • Eligibility for rehiring • Signature of employer • Signature of employee upon separation This form may be used in West Virginia.

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Wisconsin Personnel Form

The purpose of this form is to provide a central record of the hiring, job advancement, and end of employment of any employee. This form should be completed upon the hiring of any employee and should be periodically updated as required. The following information is gathered on this form: • Name, address, and phone of employee • Social Security number of employee • Date hired and starting salary • W-4 form completion and number of dependents • Any changes in salary • Any changes in job position • Date and reason for leaving employment • Eligibility for rehiring • Signature of employer • Signature of employee upon separation This form may be used in Wisconsin.

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Wyoming Personnel Form

The purpose of this form is to provide a central record of the hiring, job advancement, and end of employment of any employee. This form should be completed upon the hiring of any employee and should be periodically updated as required. The following information is gathered on this form: • Name, address, and phone of employee • Social Security number of employee • Date hired and starting salary • W-4 form completion and number of dependents • Any changes in salary • Any changes in job position • Date and reason for leaving employment • Eligibility for rehiring • Signature of employer • Signature of employee upon separation This form may be used in Wyoming.

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