Employee Information Tomko, Cynthia
Chili's # **
Downington, PA 19335
» Employment Information for
Name » First: Cynthia Middle: Last: Tomko Suffix:
General
Pref. Name: Gender: Marital Status:
Birthdate: Hire Date: 03/19/2021 Start Date: 03/19/2021 Employment Type: Part-Time Pay Type: Hourly
Classification: W-2 Re-Hire?: No
Exempt?: No
Payroll
Position: Food Server Employment Type: Part-Time
Pay Rate: 3.25 Tipped Wage: Yes
Additional Position Information
Position Payrate Tipped
Hostess/Host 12.00 No
TOGO Cashier 10.00 Yes
Server Trainee 10.00 No
Food Runner No
No
No
No
No
No
Federal Withholding Summary (Refer to Form W-4 for details) Filing Status: Exempt?: No
Other Credits $ Other Income $
Qualifying Dependents $ Deductions $
Other Dependents $ Two Jobs No
Total Dependents $ Additional Amount Withheld: $
State Withholding Summary (Refer to State Form for details if applicable) Filing Status: Exempt?: No
Total Allowances: Additional Amount Withheld: $
» Employee Information
Personal
Name: Cynthia Tomko Maiden Name:
Birth Date:
Contact
Phone # 1: 1-610-***-**** Accept Texts: Phone # 2: Accept Texts: E-Mail: **********@*****.***
Address
Address:
Emergency
Authorizations
Employee Signature:
Manager Signature:
Administrator Signature:
EEO Self-Identification Form Tomko, Cynthia
Chili's # 63
26 Quarry Road
Downington, PA 19335
» Employee Voluntary EEO Self-Identification Form
General
Name: Cynthia Tomko Hire Date: 03/19/2021 Start Date: 03/19/2021 Position: Food Server Department: Eligible to Work in US: Not Answered Gender Disability
m Female m Male m Non-Binary m Disabled m Not Disabled Ethnicity and Race
m Black/African American
m Alaskan Native
m American Indian
m Asian
m White
m Hispanic or Latino
m Native Hawaiian
m Pacific Islander
m Other:
m Two or more races
m Declined to Disclose
Policies Tomko, Cynthia
Chili's # 63
26 Quarry Road
Downington, PA 19335
» Policies
Employee Information
Name: Cynthia Tomko Employee Number:
Position: Food Server Department: Hire Date: 03/19/2021 Start Date: 03/19/2021 Employee Classification: W-2 Re-Hire?: No
Company Onboarding Questions
Yes/No Questions Answers
Do you consent to receive electronic pay information and W-2 forms?
Authorizations
Employee Signature:
Manager Signature:
Administrator Signature:
Policies Tomko, Cynthia
Chili's # 63
26 Quarry Road
Downington, PA 19335
» Additional Questions
Employee Information
Name: Cynthia Tomko Employee Number:
Position: Food Server Department: Hire Date: 03/19/2021 Start Date: 03/19/2021 Employee Classification: W-2 Re-Hire?: No
Company Onboarding Questions
Yes/No Questions Answers
Do you consent to receive electronic pay information and W-2 forms?
Authorizations
Employee Signature:
Manager Signature:
Administrator Signature:
RESIDENCY CERTIFICATION FORM
Local Earned Income Tax Withholding
EMPLOYEE INFORMATION – RESIDENCE LOCATION
TO EMPLOYERS/TAXPAYERS:
This form is to be used by employers and/or taxpayers to report essential information for the collection and distribution of Local Earned Income Taxes to the local EIT collector. This form must be utilized by employers when a new employee is hired or when a current employee notifies employer of a name and/or address change. Use the Address Search Application at www.newPA.com/Act32 to determine PSD codes, EIT rates and tax collector contact information.
NAME (Last Name, First Name, Middle Initial) SOCIAL SECURITY NUMBER STREET ADDRESS (No PO Box, RD or RR)
ADDRESS LINE 2
CITY STATE ZIP CODE DAYTIME PHONE NUMBER
CERTIFICATION
SIGNATURE OF EMPLOYEE DATE (MM/DD/YYYY)
PHONE NUMBER EMAIL ADDRESS
MUNICIPALITY (City, Borough or Township)
COUNTY RESIDENT PSD CODE TOTAL RESIDENT EIT RATE
EMPLOYER INFORMATION – EMPLOYMENT LOCATION
EMPLOYER BUSINESS NAME (Use Federal ID Name) EMPLOYER FEIN STREET ADDRESS WHERE ABOVE EMPLOYEE REPORTS TO WORK (No PO Box, RD or RR) ADDRESS LINE 2
CITY STATE ZIP CODE PHONE NUMBER
MUNICIPALITY (City, Borough or Township)
COUNTY WORK LOCATION PSD CODE WORK LOCATION NON-RESIDENT EIT RATE For information on obtaining the appropriate MUNICIPALITY (City, Borough, Township), PSD CODES and EIT (Earned Income Tax) RATES, please refer to the Pennsylvania Department of Community & Economic Development website: www.newPA.com/Act32
CLGS-32-6 (6-13)
Under penalties of perjury, I (we) declare that I (we) have examined this information, including all accompanying schedules and statements and to the best of my (our) belief, they are true, correct and complete. FORM Conditional Employee and Food Employee Interview 1-A
Preventing Transmission of Diseases through Food by Infected Food Employees or Conditional Employees with Emphasis on illness due to Norovirus, Salmonella Typhi, Shigella spp., Enterohemorrhagic (EHEC) or Shiga toxin-producing Escherichia coli (STEC), or hepatitis A Virus The purpose of this interview is to inform conditional employees and food employees to advise the person in charge of past and current conditions described so that the person in charge can take appropriate steps to preclude the transmission of foodborne illness. Conditional employee name (print) Food employee name (print) Address Telephone Daytime: Evening: Date
Are you suffering from any of the following symptoms? (Circle one) If YES, Date of Onset
Diarrhea? YES / NO
Vomiting? YES / NO
Jaundice? YES / NO
Sore throat with fever? YES / NO Or
Infected cut or wound that is open and draining, or lesions containing pus on the hand, wrist, an exposed body part, or other body part and the cut, wound, or lesion not properly covered? YES / NO
(Examples: boils and infected wounds, however small) In the Past:
Have you ever been diagnosed as being ill with typhoid fever (Salmonella Typhi) YES / NO If you have, what was the date of the diagnosis? If within the past 3 months, did you take antibiotics for S. Typhi? YES / NO If so, how many days did you take the antibiotics? If you took antibiotics, did you finish the prescription? YES / NO History of Exposure:
1. Have you been suspected of causing or have you been exposed to a confirmed foodborne disease outbreak recently? YES / NO
If YES, date of outbreak:
a. If YES, what was the cause of the illness and did it meet the following criteria? Cause: i. Norovirus (last exposure within the past 48 hours) Date of illness outbreak ii. E. coli O157:H7 infection (last exposure within the past 3 days) Date of illness outbreak
iii. Hepatitis A virus (last exposure within the past 30 days) Date of illness outbreak iv. Typhoid fever (last exposure within the past 14 days) Date of illness outbreak v. Shigellosis (last exposure within the past 3 days) Date of illness outbreak FORM 1-A (continued)
b. If YES, did you:
i. Consume food implicated in the outbreak? ii. Work in a food establishment that was the source of the outbreak? iii. Consume food at an event that was prepared by person who is ill? 2. Did you attend an event or work in a setting, recently where there was a confirmed disease outbreak? YES / NO
If so, what was the cause of the confirmed disease outbreak? If the cause was one of the following five pathogens, did exposure to the pathogen meet the following criteria?
a. Norovirus (last exposure within the past 48 hours) YES / NO b. E. coli O157:H7 (or other EHEC/STEC (last exposure within the past 3 days) YES / NO
c. Shigella spp. (last exposure within the past 3 days) YES / NO d. S. Typhi (last exposure within the past 14 days) YES / NO e. hepatitis A virus (last exposure within the past 30 days) YES / NO Do you live in the same household as a person diagnosed with Norovirus, Shigellosis, typhoid fever, hepatitis A, or illness due to E. coli O157:H7 or other EHEC/STEC? YES / NO Date of onset of illness
3. Do you have a household member attending or working in a setting where there is a confirmed disease outbreak of Norovirus, typhoid fever, Shigellosis, EHEC/STEC infection, or hepatitis A? YES / NO Date of onset of illness
Name, Address, and Telephone Number of your Health Practitioner or doctor: Name Address Telephone – Daytime: Evening: Signature of Conditional Employee Date Signature of Food Employee Date Signature of Permit Holder or Representative Date 1
Payment Method Request
(To be used for New Enrollment or Changes to Existing Accounts) HOURLY TEAM MEMBERS and MANAGERS: Send via weekly restaurant package
*Be sure to type or write legibly. Illegible forms will be returned, causing a delay in processing Select desired payment method:
Direct Deposit (fill out sections A, B, & D) Please attached a voided blank check or bank authorization form in order that we can verify your banking information
Wisely Pay Card - Visa®Branded Debit Card (fill out sections A, C, & D) A. GENERAL INFORMATION
First Name
Last Name
Address Apartment #
City
State Zip Code
Home /Cell Phone: Social Security Number (Required) Concept (Please Circle)
Burger King
Restaurant Name & Number
B. Direct Deposit Only:
I do hereby authorize and request Quality Dining, Inc. to electronically send my pay, which I receive from the company to the Financial Institution indicated below for credit to my checking or savings account indicated. Type of Account:
Checking Savings
Type of Account:
Checking Savings
Routing/Transit #:
Routing/Transit #:
Account #:
Account #:
Amount of Deposit:
Balance Amount Dollar Amount: $
Amount of Deposit:
Balance Amount Dollar Amount: $
Want to Deposit to more than 2 accounts? If you wish to Direct Deposit your pay among additional account (max of 3), you may attach a separate copy of this form with the Account and Routing Information. Please attached a voided blank check or bank authorization form in order that we can verify your banking information B. WISELY PAY CARD ONLY:
Date of Birth:
By accepting and using my Wisely Pay Card, I agree to be bound by the terms and conditions outlined in the Wisely Card Cardholder Agreement. I hereby authorize ADP to credit any amounts owed to me as instructed by my employer, by initiating credit entries to my Wisely Pay Card. In the event that ADP deposits funds erroneously to my Wisely Pay Card, I authorize ADP to debit my card for amount not to exceed the original amount of the erroneous credit. This authorization is to remain in full force and effect until ADP has received written notice from me of its termination in such time and in such manner as to afford ADP reasonable opportunity to act on it. Note that the Wisely Pay Card provides you with the option to draw on a check for each pay date at no cost to you. D. REQUIRED SIGNATURE:
By signing below, I hereby request the form of payment selected above and agree to the terms set forth herein applicable to such payments. In addition, I authorize Bravoflorida LLC. to reverse amounts deposited to my account in error. I understand that my pay vouchers and W-2 are available online at http://ipay.adp.com. Should I wish a paper copy of my W-2 I understand I can contact 800- 589-3820 to request the form.
Team Member Signature: DATE:
2
Get Ready for a Green Pay Check
Get Ready for a Green Pay Check by completing the following:
Choose one of the electronic pay options either Direct Deposit or Pay Card.
A Pay Card will be delivered to you at your restaurant.
Remember to update any auto draft bill payment arrangements when changing to either a new Direct Deposit or Pay Card account.
Sign up on the iPay website to access your bi-weekly earnings statement and W-2 at http://ipay.adp.com. You will be prompted to complete the registration process. Option 1 Direct Deposit
Enrolling in Direct Deposit is Easy:
1. Complete the Payment Method Request Form on the reverse side of this communication. 2. Complete Section A, B & D of the form along with a voided blank check or bank authorization form to your Restaurant Management Staff. Direct Deposit into a savings account must have a form from the bank with the account information .
What are the benefits of Direct Deposit
Potential Savings – Most banks offer checking accounts with payroll direct deposit.
Leverage Existing Account – Allows you to deposit your pay to your existing account. No New account is required.
Option 2 – Pay Card
Select a Pay Card. There are No Credit checks. This is a VISA –branded prepaid debit card-not a credit card. It allows Quality Dining to offer an alternative to direct deposit for Team Members who do not have a bank account. Enrolling in Pay Cards is Easy TOO! Sign up by completing the Payment Method Request Form, if not submitted a pay card will be automatically selected as the choice method of pay. What are the benefits of the Pay Card?
No Credit Checks – This is a prepaid card and you are automatically approved being a Quality Dining Team Member.
Free ATM Withdrawals at over 60,000 in network ATMs.
In Network ATMs can be found in popular stores such at 7-Eleven, Target, Walgreens, VISA participating banks and others.
Unlimited Free Text Message Alerts – Checking your balance is easy as checking the text message on your mobile phone.
Option to prompt a check at no extra cost for each pay period.
Auto Bill payment – Fee online auto bill payment. Should you have any question refer to the “Frequently Asked Questions “ handout. You may also contact your Benefit & Compensation Advisor at 1-800-***-**** extension: 6242, 6216 or 6218. Solicitud de Pago Método
(Para ser utilizado para la inscripción o cambios a las cuentas existentes) MIEMBROS POR HORA equipo y los directores: Enviar a través del paquete restaurante de la semana
* Asegúrese de escribir o escribir en forma legible. Formas ilegibles serán devueltos, provocando un retraso en el procesamiento de. Elija un método de pago que desee:
Depósito Directo (llene las secciones A, B y D) Por favor adjunte un cheque anulado en blanco o formulario de autorización del banco con el fin de que podamos verificar su información bancaria
Wisely Tarjeta de pago - Visa ® tarjeta de débito (llene las secciones A, C y D) A. INFORMACIÓN GENERAL
Nombre Apellido
Dirección Apartamento #
Ciudad Estado Código postal
Inicio / teléfono celular: Número de Seguro Social (Obligatorio) Concepto (Por favor circule)
Burger King
Nombre y número del restaurante
B. Depósito Directo solamente:
Por la presente autorizo y solicito Quality Dining, Inc., para enviar electrónicamente mi sueldo, que recibe de la empresa a la Institución Financiera se indica a continuación para el crédito a mi cuenta de cheques o cuenta de ahorros indicada Tipo de cuenta:
Comprobación Ahorro
Tipo de cuenta:
Comprobación Ahorro
Ruta / tránsito #: Ruta / tránsito #:
Cuenta #:
Cuenta #:
Monto del Depósito:
Saldo Cantidad Monto en dólares: $
Monto del Depósito:
Saldo Cantidad Monto en dólares: $
Quiere depositar a más de 2 cuentas? Si desea depósito directo de su salario, entre la cuenta adicional (máximo 3), puede adjuntar una tímida separado de esta forma con la cuenta y la información de enrutamiento. Por favor, adjunta un cheque en blanco en blanco o boleta de depósito con el fin de que podamos verificar su información bancaria C. WISELY PAGA SOLO TARJETA:
Fecha de Nacimiento:
Al aceptar y usar mi tarjeta de pago Wisely, estoy de acuerdo en estar obligado por los términos y condiciones descritos en el Contrato de tarjeta de titular de la tarjeta de Wisely. Por la presente autorizo a ADP de crédito las cantidades adeudadas a mí, como instrucciones de mi empleador, al iniciar entradas de crédito a mi tarjeta de pago Wisely. En el caso de que los fondos de los depósitos de ADP erróneamente a mi Tarjeta de Pago Wisely, yo autorizo a ADP a debitar de mi tarjeta de cantidad que no exceda el monto original del crédito erróneo. Esta autorización se mantendrá en pleno vigor y efecto hasta que ADP ha recibido notificación escrita de mí de su terminación en el tiempo y en la forma de ofrecer una oportunidad de AADP razonable para actuar en ella. Tenga en cuenta que la tarjeta de pago Wisely le ofrece la opción de recurrir a una verificación de cada fecha de pago, sin costo para usted. D. Firma obligatoria:
Al firmar a continuación, por la presente solicito la forma de pago seleccionada anteriormente y estoy de acuerdo con los términos establecidos en este documento aplica a este tipo de pagos. Además, autorizo calidad comedor, Inc. para invertir montos depositados a mi cuenta por error. Entiendo que mis comprobantes de pago y W-2 están disponibles en línea en http://ipay.adp.com. Si deseo una copia impresa de mi W-2 Entiendo que puedo contactar 800-***-**** para solicitar el formulario. Equipo de Firma miembro de: FECHA:
Prepárese para un cheque de pago Verde
Prepárese para un cheque de pago Verde, completando el siguiente:
Elija una de las opciones de pago electrónicas, ya sea depósito directo o tarjeta de pago.
Una tarjeta de pago será entregado a usted en su restaurante.
Recuerde que debe actualizar los proyectos de auto arreglos de pago de facturas cuando se cambia ya sea a un depósito directo nueva o pagar la cuenta de tarjeta.
Regístrate en la página web iPay para acceder a su bi-semanal de declaración de ingresos y W-2 a http://ipay.adp.com. Se le pedirá para completar el proceso de registro. Opción 1 Depósito Directo
La inscripción en el Depósito Directo es Fácil:
1. Completar el Formulario de Solicitud de Método de Pago en el reverso de esta comunicación. 2. Complete la Sección A, B y D del formulario, junto con un cheque en blanco en blanco o recibo de depósito a su personal de gestión del restaurante. Depósito directo en una cuenta de ahorros debe tener un formulario del banco con la información de la cuenta
Cuáles son los beneficios del depósito directo
• Ahorros potenciales: La mayoría de los bancos ofrecen cuentas de cheques con depósito directo de nómina.
• Aprovechar la Cuenta existente - le permite depositar su salario a su cuenta existente. No tienes cuenta nueva se requiere.
Opción 2 - Pago de tarjeta
Seleccione una tarjeta de pago. No hay verificación de crédito. Se trata de una marca de Visa de débito de prepago de tarjeta no es una tarjeta de crédito. No permitir que restaurantes de calidad para ofrecer una alternativa al depósito directo de los miembros del equipo que no tienen una cuenta bancaria. La inscripción en las tarjetas de pago es también muy fácil! Regístrate rellenando el Método de Pago Formulario de solicitud, si no presentó una tarjeta de pago será automáticamente seleccionado como el método de elección de la remuneración.
Cuáles son los beneficios de la Tarjeta de Pago?
• Sin verificación de crédito - Esta es una tarjeta prepagada y se le aprueba automáticamente de ser un miembro del equipo de Calidad de comedor.
• Los retiros en cajeros automáticos gratuitos en más de 60.000 en la red de cajeros automáticos.
• En la red cajeros automáticos se pueden encontrar en las tiendas más populares, en 7-Eleven, Target, Walgreens, los bancos participantes y otros VISA.
• Número ilimitado de alertas de mensajes de texto gratis - Comprobar el saldo es tan fácil como comprobar el mensaje de texto en su teléfono móvil.
Opción para solicitar un cheque sin costo adicional para cada período de pago.
• Pago de recibos Auto - Tarifa de pago de facturas en línea automática. Si usted tiene alguna pregunta consulte la sección "Preguntas frecuentes" limosna. También puede comunicarse con su Asesor de Beneficios y Compensación al 1-800-***-**** extensión: 6242, 6216 o 6218. FORM Conditional Employee or Food Employee Reporting Agreement 1-B
Preventing Transmission of Diseases through Food by Infected Conditional Employees or Food Employees with Emphasis on illness due to Norovirus, Salmonella Typhi, Shigella spp., Enterohemorrhagic (EHEC) or Shiga toxin-producing Escherichia coli (STEC), or hepatitis A Virus The purpose of this agreement is to inform conditional employees or food employees of their responsibility to notify the person in charge when they experience any of the conditions listed so that the person in charge can take appropriate steps to preclude the transmission of foodborne illness. I AGREE TO REPORT TO THE PERSON IN CHARGE:
Any Onset of the Following Symptoms, Either While at Work or Outside of Work, Including the Date of Onset:
1. Diarrhea
2. Vomiting
3. Jaundice
4. Sore throat with fever
5. Infected cuts or wounds, or lesions containing pus on the hand, wrist, an exposed body part, or other body part and the cuts, wounds, or lesions are not properly covered (such as boils and infected wounds, however small) Future Medical Diagnosis:
Whenever diagnosed as being ill with Norovirus, typhoid fever (Salmonella Typhi ), shigellosis (Shigella spp. infection), Escherichia coli O157:H7 or other EHEC/STEC infection, or hepatitis A (hepatitis A virus infection)
Future Exposure to Foodborne Pathogens:
1. Exposure to or suspicion of causing any confirmed disease outbreak of Norovirus, typhoid fever, shigellosis, E. coli O157:H7 or other EHEC/STEC infection, or hepatitis A. 2. A household member diagnosed with Norovirus, typhoid fever, shigellosis, illness due to EHEC/STEC, or hepatitis A.
3. A household member attending or working in a setting experiencing a confirmed disease outbreak of Norovirus, typhoid fever, shigellosis, E. coli O157:H7 or other EHEC/STEC infection, or hepatitis A. I have read (or had explained to me) and understand the requirements concerning my responsibilities under the Food Code and this agreement to comply with:
1. Reporting requirements specified above involving symptoms, diagnoses, and exposure specified; 2. Work restrictions or exclusions that are imposed upon me; and 3. Good hygienic practices.
I understand that failure to comply with the terms of this agreement could lead to action by the food establishment or the food regulatory authority that may jeopardize my employment and may involve legal action against me.
Conditional Employee Name (please print) Signature of Conditional Employee Date Food Employee Name (please print) Signature of Food Employee Date Signature of Permit Holder or Representative Date Quality Dining, LLC Team Member New Hire Acknowledgement Form Team Member New Hire Orientation Form
ACKNOWLEDGEMENT OF ELECTRONIC GUIDEBOOK
The Team Member Guidebook describes important information about your Employer. I understand I should consult my manager or the Human Resources Department regarding my questions not answered in the Guidebook. I understand I should contact my manager if I wish to review a policy or procedure in its entirety. I have entered into my employment relationship with the Employer voluntarily and acknowledge there is no specified length of employment. Accordingly, either the Employer or I can terminate the relationship at will, with or without cause, and at any time, so long as there is no violation of applicable federal or state law. The Guidebook and the policies and procedures contained therein supersede any and all prior practices, oral or written representations, or statements regarding the terms and conditions of my employment with my Employer. With the exception of employment at will, I understand any and all policies and practices may be changed at any time by my Employer, and the Company reserves the right to change my hours, wages, and working conditions at any time. All such changes will be communicated through official notices, and I understand revised information may supersede, modify or eliminate existing policies. I understand and agree that nothing in the Guidebook creates, or is intended to create, a promise or representation of continued employment, and that employment with my Employer is at will, and may be terminated at the will by either my Employer or myself. Furthermore, I acknowledge that the Guidebook is neither a contract of employment nor a legal document. I understand and agree that employment and compensation may be terminated with or without cause, and with or without notice, at any time by my Employer or myself. I have received the Electronic Guidebook. I acknowledge I have read, agree to, and will comply with the policies contained in the Guidebook (listed below) along with any revisions made to it. 1. Equal Employment Opportunity
2. Drug & Alcohol Policy
3. Employment at Will
4. Release of Waiver of Liability
5. Hazard Communication Program
6. Safety Policy
7. Workplace Harassment Policy
8. Dispute Resolution Program
9. Cash Procedures
10. Dress Guidelines
11. Uniform Receipt
12. Attendance Guidelines
13. Vacation policy
14. Social Networking
15. Cell Phones
I acknowledge that I have reviewed and understand the policy and guidelines within the document provided by Quality Dining, LLC. I agree to promptly notify Human Resources, in writing, in the event physical or mental limitation creates a need for a modification in my job duties. I will provide this notice within 180 days from the date after you discover your need for such accommodation.
EMPLOYEE CONSENT TO ELECTRONIC PAY INFORMATION AND W-2 FORMS By my signature below, I hereby consent to receipt of all paycheck and tax information related to my employment, including my W-2 form, by electronic means. If I do not provide my consent, I understand a paper W-2 will be sent out to the last known address I provided to the Human Resources Department. Instructions for electronically accessing all paycheck and tax documents for my employment are included as part of this new-hire onboarding process.
This consent shall last as long and until I provide a written request to the Human Resources Department that my W-2 be sent in paper copy. A request for a paper copy of my W-2 to be sent shall include the address to which such document should be sent. This request for a paper copy or withdrawal of consent to electronic receipt, shall be sent to the following.
Via email: **@***.***
Via regular mail: Human Resources, 4220 Edison Lakes Parkway, Suite 300 Mishawaka, IN 46545
Phone: 800-***-****
A request for a paper copy shall not be treated as a permanent request that W-2’s always be sent via regular mail, unless the request so states. Therefore, I understand that any such request should expressly state whether it’s a one-time request, or a request for all future pay role statements and W-2s to be sent via regular first class mail. I understand that a request for a paper copy must be submitted as indicated above, and will only become effective fourteen (14) calendar days after the request is made. Any withdrawn consent for receipt of electronic W-2s shall not be effective until fourteen (14) days after receipt of such a request.
I understand I must keep Human Resources informed of any address or email change, in accordance with the Team Member Guidebook. I further understand that my W-2 statement may be required to be printed and attached to a state, federal or local tax filing. I can visit the following web address for payroll and available tax information: ipay.adp.com
I understand I can use any web browser to access the material.