Employee name: ____________________________________
Date of hire: _______________________________________
Job title: __________________________________________
Department: _______________________________________
☐ Personnel file created.
☐ Confidential medical file created.
☐ Reference checks completed and filed.
☐ Background check results received and reviewed.
☐ Physical exam results received and reviewed.
☐ Drug test received and reviewed.
☐ I-9 documents reviewed.
☐ Payroll change notice completed.
☐ Orientation documents filed.
☐ Employee information entered in HRIS & payroll systems.
☐ State new hire reporting completed.
Received from Employee:
☐ Application form.
☐ Authorizations for background check, physical & drug screen.
☐ Offer letter.
☐ I-9 form.
☐ Federal tax withholding form.
☐ State tax withholding form.
☐ Direct deposit form.
☐ Employee policy manual acknowledgment.
☐ Employee handbook acknowledgment.
☐ Key/security policies acknowledgment.
☐ Employee personal information sheet and an emergency contact form.
☐ Benefit enrollment forms.
Received by: ___________________________ Date: ______________
