New hire form: Sample template
[Pages:3]Your company logo
Your company name
New hire form: Sample template
Employee information Personal information
Full name: ________________________________________________________________________________
Last nameFirst nameMiddle initials
Gender: ______________ Title (Mr./Ms/Mrs./Other) _______________________________________________
Address: ________________________________________________________________________________
Street address
Apartment/unit #
________________________________________________________________________________
City
Province
Postal code
Home phone: _(_____)____________________________ Cellphone: _(_____)_____________________________
Email address: ___________________________________________________________________________
Social Insurance Number or other government ID: ____________________________________________________________________
Birth date: _______________________________ Marital status: _________________________________
Spouse's name: __________________________________________________________________________
Spouse's employer: __________________________________
Spouse's work phone: _(_____)____________________________
Job information
Employee ID
Title: ______________________________________ (if applicable): ______________________________________
Supervisor: ______________________________________
______________________________________
Work location: ___________________________________________________________________________________
Email address: ___________________________________________________________________________________
Home phone: _(_____)____________________________ Cellphone: _(_____)_____________________________
Start date: _____________________________________ Salary: _$______________________________________
Emergency contact information
Full name: ________________________________________________________________________________
Last nameFirst nameMiddle initials
Address: ________________________________________________________________________________
Street address
Apartment/unit #
________________________________________________________________________________
City
Province
Postal code
Primary phone: _(_____)___________________________ Cellphone: _(_____)_____________________________
Relationship: _____________________________________________________________________________
Other information
Have you contributed to a pension plan (other than Canada Pension Plan) within the past 30 days?
YES / NO (please circle one)
If yes, please indicate the employer & pension plan name: _____________________________________________
For payroll direct deposit purposes, please attach a void cheque to this form.
Please attach a completed and signed TD1 form.
Date: _________________ Employee signature: _____________________________________________________
Print name: _____________________________________________________________
Date: _________________ Employer signature: _____________________________________________________
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