Private Protective Services

PPS New Hire Packet (CA, AZ, NE)


General Information

Full Name: 
Address: 
Email: 
Mobile Phone:    Home Phone:   
DOB:    SSN:   
Driver’s License or ID#:   




Physical Aptitude Acknowledgement

Please specify the injury or illness


  



Receipt of Employee Handbook


Review of Injury and Illness Prevention Program (IIPP)


 

Preferred mailing method:
Bank Name: 
$ or %:    Routing Number (9 digits):    Account Number:   
Bank Name:   
$ or %:    Routing Number (9 digits):    Account Number:   
Bank Name:   
$ or %:    Routing Number (9 digits):    Account Number:   

 

First Meal Period

Second Meal Period


 


 


 


 


 


 


 

 


 


 


 


 

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.)
Full Name
Address
Date of Birth (mm/dd/yyyy) U.S. Social Security Number Employee’s E-mail Address 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):






Uploaded Document(s):

 

Full Name: 
SSN: 
Address: 
Marital Status: 
Total number of allowances you are claiming (from line H above or from the applicable worksheet on page 2):   
Additional amount, if any, you want withheld from each paycheck:   

I claim exemption from withholding for 2017, 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

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Private Protective Services https://privateprotectiveservices.com
Signature Certificate
Document name: PPS New Hire Packet (CA, AZ, NE)
Unique Document ID: 2502f02ededf1bc2581835bebf9c28538293b48b
Timestamp Audit
November 10, 2017 4:04 pm PDTPPS New Hire Packet (CA, AZ, NE) Uploaded by Erica Marquez - [email protected] IP 172.91.218.210
November 10, 2017 4:56 pm PDTShayne Letford - [email protected] added by Charles Luster - [email protected] as a CC'd Recipient Ip: 76.90.162.87
November 10, 2017 5:27 pm PDTShayne Letford - [email protected] added by Charles Luster - [email protected] as a CC'd Recipient Ip: 76.90.162.87
November 10, 2017 5:36 pm PDTShayne Letford - [email protected] added by Charles Luster - [email protected] as a CC'd Recipient Ip: 76.90.162.87
November 10, 2017 5:44 pm PDTShayne Letford - [email protected] added by Charles Luster - [email protected] as a CC'd Recipient Ip: 76.90.162.87
November 13, 2017 12:49 pm PDTErica Marquez - [email protected] added by Charles Luster - [email protected] as a CC'd Recipient Ip: 76.90.162.87
November 13, 2017 12:49 pm PDTShayne Letford - [email protected] added by Charles Luster - [email protected] as a CC'd Recipient Ip: 76.90.162.87
January 9, 2018 1:57 pm PDTLee P. - [email protected] added by Charles Luster - [email protected] as a CC'd Recipient Ip: 172.91.210.72
May 16, 2018 7:33 pm PDTLee P. - [email protected] added by Charles Luster - [email protected] as a CC'd Recipient Ip: 172.91.210.72