Employee Action Form Completed Form Examples and Samples

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Filled Employee Action Form for a new hire

Source document used: HR Onboarding Email

Hi Payroll Team, please process the onboarding for our new team member, Marcus A. Thorne. He will be starting with us on February 15, 2026, as part of the Engineering Division (Dept 402). Marcus’s employee ID is ENG-9982. He currently lives at 1422 Oakwood Terrace, Apt 4B, Seattle, WA 98109. You can reach him at 206-555-0192 if any logistics issues arise before his start date. For his personal file, Marcus was born on July 12, 1990. He is male, and his SSN is 000-00-5522. We’ve agreed on a base salary of $8,500 per pay period. As part of his benefits package, he is opting into the standard 401k plan with a 5% contribution deduction. We are also setting up a monthly equipment stipend of $150. For tax purposes, he has claimed 2 federal exemptions and will maintain a 'Single' status for his state withholding, claiming 1 exemption. He falls under Workers Compensation code 8810. Please ensure all accruals are activated for him, as he is eligible for full PTO starting on his first day. Please let me know if you need any additional documentation to get his payroll profile finalized in the system before the end of the week.