Stage 5: Store Manager Validation 2020

Is the new Hire 15 years of age or younger? *

Position *

Starting Wage *

Part or Full time *

Pay Status *

Position is *

TB Test Date *

WOTC Confirmation Number

Federal/W4 Marital Status Description *

Federal/W4 Step 3 Amount (enter "n/a" if not applicable) *

Federal/W4 Step 4a Amount (enter "n/a" if not applicable) *

Federal/W4 Step 4b Amount (enter "n/a" if not applicable) *

Federal/W4 Step 4c Amount (enter "n/a" if not applicable) *

State/HW-4 Marital Status Description *

State/HW-4 Exemptions *

State/HW-4 Extra $ Tax Amount *