Being a Good Employer: Sample Employee Information Sheet
Sample Employee Information Form
Employee’s Personal Information
Date of hire: ___________________________________________________
Employee name: ______________________________________________
Address: ___________________________________________________
___________________________________________________
Home phone: ______________________________________________
Cell phone: ______________________________________________
Email address: ______________________________________________
Social Insurance Number: _________________________________________
Emergency Contact Information
Name: _____________________________________________________
Home phone: ________________________________________________
Cell phone: ___________________________________________________
Relationship to employee: ___________________________________________
Do you have any allergies? _____________________________________
________________________________________________________________
Do you have any medical conditions? __________________________________
________________________________________________________________
Alberta Health Care Number: _________________________________________
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