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BGC’S New Hire Payroll Request and Information Form
This form has been developed to provide for the accurate submission of new-hire information to
the payroll department for the timely processing of pay for new employees. This information is
collected for employment purposes only, and will be held in the strictest of confidence.
New Hire Information
Employee Name:
Employee Number:
Title:
Start Date:
Department:
Supervisor:
Home Address:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Telephone Number:
Date of Birth:
Social Insurance Number:
Bank Account Number (Attach Void
Cheque):
Marital Status:
Rate of Pay:
Dependants (Please provide names and dates of birth):
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Benefits Eligibility:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Comments/Special Instructions:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Signature of Requesting Supervisor: _________________________
Date Signed: ____________________
BGC New hire information
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