Welcome to the Dogtown Team!

Welcome to the Dogtown Team!

Welcome to the Team. Please fill out this form. At the end, you must upload your identification and signed tax forms.

Complete this form with your orientation manager. If you have any questions, we are here to help.

Information About You

For you personnel file

Employee First Name*

Legal Last Name

Employee Middle Name

Legal Middle Name

Employee Last Name*

Legal First Name

Preferred Name

if different from legal name

Full Address (Street, City, State, County, Zip)*

Contact Phone Number*

Phone

Email Address*

Social Security Number*

Date you were hired/date job accepted*

Dogtown has a 60 day waiting period before certain benefits become available to employees. Please provide the date which you accepted your job offer. You will be contacted by HR once benefits become available to schedule a meeting.

Are you interested in any of Dogtown's Benefits?*

If you are interested in signing up for benefits, the HR manager will contact you with more information and sign up procedures.

W-4 Tax Information

You MUST also attach the official IRS form below

Social Security Match*

Does your name match the name on your social security card? If not, to ensure you get credit for your earnings, contact SSA at 800-772-1213 or go to www.ssa.gov.

Yes

Not Sure

Filing Choice*

Single or Married filing separately

Married filing jointly or Qualifying surviving spouse

Head of household (Check only if you’re unmarried and pay more than half the costs of keeping up a home for yourself and a qualifying individual.)

Multiple Jobs (Steps 2-4)*

TIP: Consider using the estimator at www.irs.gov/W4App to determine the most accurate withholding for the rest of the year if: you are completing this form after the beginning of the year; expect to work only part of the year; or have changes during the year in your marital status, number of jobs for you (and/or your spouse if married filing jointly), dependents, other income (not from jobs), deductions, or credits. Have your most recent pay stub(s) from this year available when using the estimator. At the beginning of next year, use the estimator again to recheck your withholding.

Not applicable to me

(1) hold more than one job at a time, or

(2) are married filing jointly and your spouse also works. The correct amount of withholding depends on income earned from all of these jobs.

Step 3-4(b) Calculation?*

Did you complete additional calculations on your W4 form for the multiple jobs section?

Yes

Emergency Contact Information

Emergency Contact Name*

Emergency Contact Phone*

Phone

Emergency Contact Email*

Direct Deposit Information

Direct Deposit Information*

Direct deposit is required at Dogtown. If you do not currently have an account, please get one as soon as possible and reach out to your manager with the information.

Checking

Savings

Working on it

Bank Name*

Name on Account*

Routing Number*

Account Number*

Required Documents - READ CAREFULLY

Before submitting this form, you must scan/attach your employment documents to this form:

ASK YOUR ORIENTATION MANAGER IF YOU ARE UNSURE WHAT TO UPLOAD!

WELCOME TO THE DOGTOWN FAMILY!

Files that MUST be Uploaded*

(1) scan your completed/signed Form i9 to your device and attach all pages here

(2) scan your completed IRS Form W4 here

(3) take a photo of your TWO required identification document(s) and attach here. (see your I-9 for requirements)

(4) Include a copy of a voided check or screenshot with your bank account information

(5) A photo of Dogtown's Attendance Policy, signed by you

Please give your paper copy of your Form i9 and Form W4 to the manager who is conducting your orientation when this form is complete.

Drag and drop files here or

Employee Acknowledgement of Accuracy

Acknowledgment*

Acknowledgment & E-Signature Consent: By typing your full name below, you confirm that all information provided in this form is complete and accurate to the best of your knowledge. You also acknowledge that your typed name serves as your electronic signature, carrying the same legal effect as a handwritten signature.

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