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Employee Record

This employee record contains personal information such as name, contact details, education history, employment history, insurance details, and termination information. It includes fields for first name, last name, social security number, date of birth, contact numbers, mailing address, education levels, previous employers and positions, hire and termination dates, wages, and emergency contacts. Comments and notes sections are available for additional details. The record is used to document an individual's employment history and benefits with an organization.

Uploaded by

Kapil Kumar Dhaka
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
619 views1 page

Employee Record

This employee record contains personal information such as name, contact details, education history, employment history, insurance details, and termination information. It includes fields for first name, last name, social security number, date of birth, contact numbers, mailing address, education levels, previous employers and positions, hire and termination dates, wages, and emergency contacts. Comments and notes sections are available for additional details. The record is used to document an individual's employment history and benefits with an organization.

Uploaded by

Kapil Kumar Dhaka
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Employee Record

First Name Middle Name Last Name Social Security Number Home Telephone Official Telephone

Date Of Birth Age Will Be 65 On Dependents Education Years Attended


MM DD YY MM DD YY Elementary
High School
Mailing Address City State Zip Trade School
College
Residing At: Distance Ed.
Other
In Case Of Emergency, Notify: Phone Numbers Of Emergency Contacts:

Misc. Information
Sex: Male Female Marital Status : Married Single Divorced

Spouse’s Name Date Of Birth Medical Conditions

General Health Height Weight Hair Color Eye Color

Union Affiliation Job Classification And Grade

Insurance Pension/401(k) Other


Eligibility Date

Worked Worked Starting Ending Reason For


Previous Employer Position References
From Till Wage Wage Leaving

Comments:

Hired By: Date: Project Or Location:

Termination Information
Termination Date From Project / Location Terminated By Recommended For Re-
Employment?
Yes | No
Notes / Comments:

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