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Onboarding Packet Form

1.1 Onboarding Packet (2020)

Step 1 of 6 - NC-4EZ

16%

NC-4EZ Employee's Withholding Allowance Certificate
Email*
Enter Email Confirm Email
Social Security Number*
Marital Status*
- Single or Married filling spearately
- Head of Household
- Married Filling Jointly or Qualifying Widow(er)
Name*
First M.I. Last
(USE CAPTIAL LETTERS FOR YOUR NAME AND ADDRESS)
Address*
Street Address County City State / Province / Region ZIP / Postal Code Country
FORM NC-4EZ: Please use this form if you:
- Plan to claim the N.C. standard deduction
- Plan to claim no tax credits or only the credit for children
- Prefer not to complete the extended Form NC-4
- Qualify to claim exempt status (See lines 3 or 4 below)
Important: If you are a nonresident alien you must use Form NC-4 NRA.

You may complete Form NC-4, if you plan to claim N.C. itemized deductions, federal adjustments to income, or N.C. deductions.

If you do not plan to claim the credit for children, enter zero (0) on line 1. If you plan to claim the credit for children, use the table below for your filing status, amount of income, and number of children under age 17 to determine the number of allowances to enter on line 1. For married taxpayers, only 1 spouse may claim the allowance for the credit for each child.
1. Total number of allowances you are claiming
(Enter zero (0), or the number of allowances from the table above)
2. Additional amount, if any, withheld from each pay period
(Enter whole dollars)
3. I certify that I am exempt from North Carolina withholding because I meet both of the following conditions:
(1) Last year I was entitled to a refund of all State income tax withheld because I had no tax liability; and (2) This year, I expect a refund of all State income tax withheld because I expect to have no tax liability
- Check Here
4. I certify that I am exempt from North Carolina withholding because I meet the requirements of the Military Spouses Residency Relief Act and I am legally domiciled in the state of
- Check Here
If line 3 or line 4 above applies to you, enter the effective year
5. I certify that I no longer meet the requirements for exemption on line 3 or line 4
(Check applicable box)
- Line 3
- Line 4
Therefore, I revoke my exemption and request that my employer withhold North Carolina income tax based on the number of allowances entered on line 1 and any amount entered on line 2.
- Check Here
CAUTION: If you furnish an employer with an Employee’s Withholding Allowance Certificate that contains information which has no reasonable basis and results in a lesser amount of tax being withheld than would have been withheld had you furnished reasonable information, you are subject to a penalty of 50% of the amount not properly withheld.*
- I certify, under penalties provided by law, that I am entitled to the number of withholding allowances claimed on line 1 above, or if claiming exemption from withholding, that I am entitled to claim the exempt status on line 3 or 4, whichever applies.
Empoyee's Signature*
Date*
Date Format: MM slash DD slash YYYY

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USCIS Form I-9
Employment Eligibility Verification Department of Homeland Security U.S. Citizenship and Immigration Services
START HERE: Read instructions carefully before completing this form. The instructions must be available, either in paper or electronically, during completion of this form. Employers are liable for errors in the completion of this form.

ANTI-DISCRIMINATION NOTICE: It is illegal to discriminate against work-authorized individuals. Employers CANNOT specify which document(s) an employee may present to establish employment authorization and identity. The refusal to hire or continue to employ an individual because the documentation presented has 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 Middle Initial Last Other Last Names Used (if any)
Address*
Street Number and Name Apt. Number City State / Province / Region ZIP / Postal Code
Date of Birth*
Date Format: MM slash DD slash YYYY
U.S. Social Security Number*
Employee's E-mail Address*
Enter Email Confirm Email
Employee's 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 boxes):*
- 1. A citizen of the United States
- 2. A noncitizen national of the United States
- 3. A lawful permanent resident
- 4. An alien authorized to work
(Alien Registration Number/USCIS Number):*
An alien authorized to work until
(expiration date, if applicable, mm/dd/yyyy):
MM
DD
YYYY
Aliens authorized to work must provide only one of the following document numbers to complete Form I-9:*
Alien Registration Number/USCIS Number:*
Form I-94 Admission Number:*
Foreign Passport*
Foreign Passport Number Country of Issuance
Signature of Employee*
Today's Date*
MM
DD
YYYY

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Form W-4
Employee’s Withholding Allowance Certificate
Section 1:
Enter Personal Information
1. Name*
First Middle Initial Last
If your last name differs from that shown on your social security card, check here.
You must call 800-772-1213 for a replacement card.
- Check Here
2. Social Security Number*
Home Address*
Street Address City State ZIP Code
3. Marital Status*
- Single or Married filling 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.)
Note: If married filing separately, check “Married, but withhold at higher Single rate.”
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.
Section 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 for most accurate withholding for this step (and Steps 3–4); or
(b) Use the Multiple Jobs Worksheet on https://www.mystaffing.agency/worksheet/ and enter the result in Step 4(c) below for roughly accurate withholding; 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 accurate for jobs with similar pay; otherwise, more tax than necessary may be withheld.
- Check Here
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.
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.)
Section 3:
Claim Dependents
How many dependents do you have under the age of 17?
How many dependents do you have between the ages of 18 and ___?
Section 4 (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 . 4(c) $
I claim exemption from tax withholding , and I certify that I meet both of the following conditions for exemption.
- Last year I had a right to a refund of all federal income tax withheld because I had no tax liability, and
- This year I expect a refund of all federal income tax withheld because I expect to have no tax liability.
If you meet both conditions, write “Exempt” here:
Step 5: Sign & Date
Employee’s signature*
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.
Date*
MM
DD
YYYY

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Upload two forms of ID
Valid forms of ID: Unexpired driver's license, government issued identification card, military identification or passport.
File
Drop files here or

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Pre-Screening Notice and Certification Request for the Work Opportunity Credit
Job applicant: Fill in the lines below and check any boxes that apply.
Name*
First Last
Social Security Number*
Address*
Street Address County City State ZIP Code
Phone*
If you are under age 40, enter your date of birth (month, day, year)
Date Format: MM slash DD slash YYYY
1. Check here if you received a conditional certification from the state workforce agency (SWA) or a participating local agency for the work opportunity credit.
- Check Here
2. Check here if any of the following statements apply to you.
- I am a member of a family that has received assistance from Temporary Assistance for Needy Families (TANF) for any 9 months during the past 18 months.
- I am a veteran and a member of a family that received Supplemental Nutrition Assistance Program (SNAP) benefits (food stamps) for at least a 3-month period during the past 15 months.
- I was referred here by a rehabilitation agency approved by the state, an employment network under the Ticket to Work program, or the Department of Veterans Affairs.
- I am at least age 18 but not age 40 or older and I am a member of a family that:
  - a. Received SNAP benefits (food stamps) for the past 6 months; or
  - b. Received SNAP benefits (food stamps) for at least 3 of the past 5 months, but is no longer eligible to receive them.
- During the past year, I was convicted of a felony or released from prison for a felony.
- I received supplemental security income (SSI) benefits for any month ending during the past 60 days.
- I am a veteran and I was unemployed for a period or periods totaling at least 4 weeks but less than 6 months during the past year.
- Check Here
3. Check here if you are a veteran and you were unemployed for a period or periods totaling at least 6 months during the past year.
- Check Here
4. Check here if you are a veteran entitled to compensation for a service-connected disability and you were discharged or released from active duty in the U.S. Armed Forces during the past year.
- Check Here
5. Check here if you are a veteran entitled to compensation for a service-connected disability and you were unemployed for a period or periods totaling at least 6 months during the past year.
- Check Here
6. Check here if you are a member of a family that:
- Received TANF payments for at least the past 18 months; or
- Received TANF payments for any 18 months beginning after August 5, 1997, and the earliest 18-month period beginning after August 5, 1997, ended during the past 2 years; or
- Stopped being eligible for TANF payments during the past 2 years because federal or state law limited the maximum time those payments could be made.
- Check Here
7. Check here if you are in a period of unemployment that is at least 27 consecutive weeks and for all or part of that period you received unemployment compensation.
- Check Here
Job applicant’s signature*
Date*
MM
DD
YYYY

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Direct Deposit Information – ACH Debits/Credits
I authorize SL Staffing Employment Agency (the “Company”) to direct deposit of funds to my account(s) with the financial institution(s) listed below. If funds to which I am NOT entitled to are deposited in my account. I authorize the initiation of a correction (debit) entry electronically or by any other commercially accepted method. I understand that the authorization may be rejected or discontinued at any time. If any of the below information changes, I will promptly complete a new authorization agreement. If the direct deposit is not stopped before closing an account, funds payable to you will be returned to you for distribution. THIS WILL DELAY YOUR CHECK.
Select one of the following:*
- Start
- Stop
- Pay Card
- Change Account
- Adding Account
- Not Participating
Please confirm understanding of Paycard policies.*
- I confirm I understand.
You can pick your paycard up Thursday 3pm to Friday till 5pm the week after you start work" A valid picture ID is required upon pickup.
Effective Date*
Date Format: MM slash DD slash YYYY
Main Account: Account Information
Main Account: Account Type*
- Checking
- Savings
Main Account Bank Name*
Main Account Branch Location*
Street Address City State
Main Account #*
Routing #*
Main Account Amount or %*
Secondary Account: Account Information
Secondary Account: Account Type
- Checking
- Savings
Secondary Account Bank Name
Secondary Account Branch Location
Street Address City State / Province / Region Country
Secondary Account #
Secondary Account Amount or %
Authorization
*
- This authorization is to remain in full force and effective until the company has received written notification from me (or either of us) of its termination in such time and in such manner as to afford the company a reasonable opportunity to act upon.
Applicant Name*
First Last
Date*
MM
DD
YYYY
Applicant Signature*

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If you feel that we are not abiding by this privacy policy, you should contact us immediately via telephone at 336-553-0350 or info@slstaffinginc.com.

1.1 Onboarding Packet (2020)

Step 1 of 6 - NC-4EZ

NC-4EZ Employee's Withholding Allowance Certificate

USCIS Form I-9

Section 1. Employee Information and Attestation

Form W-4

Section 1:

Section 2:

Section 3:

Section 4 (optional):

Step 5: Sign & Date

Upload two forms of ID

Pre-Screening Notice and Certification Request for the Work Opportunity Credit

Direct Deposit Information – ACH Debits/Credits

Main Account: Account Information

Secondary Account: Account Information

Authorization

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