Delta Workforce

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Employee onboarding packet

Required fields are marked. If something does not apply, choose “No” or leave optional items blank.

Step 1 of 7

1. Personal information

Legal first name Middle name or initial Legal last name

Preferred name Email

Mobile phone Date of birth Social Security number

Street address Apt / unit

City State ZIP

Emergency contact name Emergency contact phone Relationship

2. Direct deposit and work location

Delta Workforce pays employees by direct deposit only.

Expected start date Work city Work state

Bank name Account type

Routing number Account number

I authorize Delta Workforce to deposit payroll into the account listed above and understand I must provide accurate banking information.

3. Federal W-4 withholding

Filing status Single or married filing separately Married filing jointly or qualifying surviving spouse Head of household

Multiple jobs or spouse works checkbox applies

Qualifying child credit amount Other dependent credit amount

Other income Deductions Extra withholding per paycheck

I am claiming exemption from federal withholding

4. State withholding

Select your home state first.

We will adjust this section based on the address state you entered.

State filing status State allowances / exemptions

Additional state withholding per paycheck Local / city / county withholding note

I claim exemption from state withholding State exemption reason, if any

5. I-9 employee information and work authorization

Employees complete Section 1 no later than the first day of employment. You may choose which acceptable documents to present.

Citizenship or immigration status A citizen of the United States A noncitizen national of the United States A lawful permanent resident A noncitizen authorized to work

Authorized work expiration date USCIS / A-number Form I-94 admission number

Foreign passport number Passport country of issuance

A preparer or translator helped me complete this form

Preparer / translator name Preparer / translator relationship

6. Secure document uploads

Clear phone photos are okay. Make sure all corners and numbers are readable. Accepted: PDF, JPG, PNG, HEIC, WEBP.

Driver license / state ID front Driver license / state ID back Social Security card or List C document Passport / List A document if used Voided check / bank document optional State tax form optional Other onboarding document optional

7. Review and sign

Please review your entries before submitting. After submission, Delta Workforce will securely receive your onboarding packet and follow up if anything needs correction.

By signing, you certify that your information is true, correct, and complete to the best of your knowledge.

Typed legal signature Date

I certify this onboarding packet is accurate and authorize Delta Workforce to use it for employment, payroll, tax withholding, and work authorization onboarding.