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Employee Information Form
Please complete this form and return it to the Payroll Office with your W4 form, direct deposit
form, and acceptable forms of identification to complete your I9.
Date: ___
Please
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Gather all necessary information such as personal details, employment history, and benefits selections.
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Who needs state employees and retirees?
01
State government agencies and departments who are responsible for managing employees and retirees.
02
State employees and retirees themselves who need to update their information or make benefit selections.
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What is state employees and retirees?
State employees and retirees refer to individuals who have worked for the state government or are receiving retirement benefits from the state.
Who is required to file state employees and retirees?
State agencies and departments are required to file state employees and retirees.
How to fill out state employees and retirees?
State employees and retirees can be filled out by providing information such as name, social security number, income, and benefits received.
What is the purpose of state employees and retirees?
The purpose of state employees and retirees is to track and report the compensation and retirement benefits of individuals employed by the state.
What information must be reported on state employees and retirees?
Information such as name, social security number, income, and benefits received must be reported on state employees and retirees.
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