PLEASE DATE ALL PAPERWORK THE DATE OF YOUR 1 ST RETURN ORIENTATION

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1 PLEASE DATE ALL PAPERWORK THE DATE OF YOUR 1 ST RETURN ORIENTATION All paperwork must be printed and completed in blue or black ink only. Follow the instructions for all return paperwork and please bring completed paperwork to your scheduled Return Orientation. Thank you. 1. PIC- Personal Information Change Form COMPLETE ONLY IF YOU HAVE ANY CHANGES Fill in your personal information in the following fields Name Empl ID: if known fill in employee id number Effective Date of Change: the date you are filling out the document Requested Change to the Following (Check all that Apply): if applicable, check the appropriate boxes indicating your changes Home Address Change Mailing Address Change: if your home address and mailing address are the same just leave blank Phone Number Change Address Change Marital Status Change: if applicable, check the appropriate boxes indicating your changes and please indicate new name if applicable Emergency Contact Change Military Status Change: if applicable check the appropriate boxes indicating your changes and Affiliation Associate signature, date should read the date of your orientation, for example, 04/12/ W-4 Form: Fill in your personal information in the following fields. Box 1: First Name and Middle Initial, Last Name Box 2: Social Security Number Home Address: Number and Street or Rural Route City/Town, State, Zip Code Box 3: Check One: Single, Married, Married - but withhold at higher Single rate Box 4: If your last name differs from that shown on your social security card, check here and you must call for a replacement card Box 5: Total number of allowance you are claiming. Use the worksheet on the form if unsure. Box 6: Additional dollar amount withheld from each paycheck Box 7: If you meet both conditions write exempt Box 8: Employee s Signature: sign full name Box 9: Date: should read the date of your orientation, for example, 04/12/17

2 M-4 Form: Please note this form is only to be used if you wish to claim withholdings which are different from your federal 2017 W-4 Form. Print Full Name Social Security Print Home Address City, State, Zip Lines 1 5: please complete if applicable Date: should read the date of your orientation, for example, 04/12/17 Signed: full legal name 4. FMLA Acknowledgement regarding Employee Rights and Responsibilities under the Family and Medical Leave Act This information can be found on our website s Human Resources - Policies & Services page Date should read the date of your orientation, for example, 04/12/17 5. Timekeeping Acknowledgement This form acknowledges that New England Sportservice has timekeeping procedures in place at the Xfinity Center Date should read the date of your orientation, for example, 04/12/17 6. Notice to Tipped Associates Acknowledgement regarding the Fair Labor Standards Act (The Federal Minimum Wage Law). This information can be found by our time clocks. Date should read the date of your orientation, for example, 04/12/17

3 7. Associate Hotline Acknowledgement regarding an ethics or compliance question or concern This information can be found by our time clocks as well as on our website s Human Resources - Policies & Services page Date should read the date of your orientation, for example, 04/12/17 8. Anti-Harassment and Non-Discrimination Acknowledgement England Sportservice that you will have received the Anti-Harassment and Non-Discrimination Policy. on our website s Human Resource Policies & Services page under the link Anti-Harassment and Non-Discrimination Policy. Date should read the date of your orientation, for example, 04/26/ Meal Break Waiver Form This form acknowledges your voluntary decision to waive your meal break during the period, If you choose to take the 30-minute meal break, you may do so as long as you punch out and in for such breaks. Date should read the date of your orientation, for example, 04/12/ NESS Acknowledgement Initial the blank next to each bullet point to verify that you have read and understand each statement. on our website s Human Resources Polices & Services page. Date should read the date of your orientation, for example, 04/12/17

4 11. PCI Associate Acknowledgement This form is to acknowledge that prior to beginning your role with New England Sportservice you will be trained on the credit card handling procedures put in place by PCI. on our website s Human Resources - Policies & Services page under the link for NESS House Rules & Regulations Date should read the date of your orientation, for example, 04/12/ Preventing Workplace Violence Acknowledgement England Sportservice that you will be trained on preventing workplace violence. on our website s Human Resource Policies & Services page under the link for Workplace Violence Prevention Policy. Date should read the date of your orientation, for example, 04/12/ NESS Accounting Policies and Procedures Acknowledgement This form acknowledges that the Delaware North Accounting Policies and Procedures have been made available to you. The Company Work Rules and Regulations can be found on our website s Human Resources - Policies & Services page Job Title, if known, for example: Stand Attendant Date should read the date of your orientation, for example, 04/12/ Direct Deposit Form COMPLETE ONLY IF YOU HAVE ANY CHANGES Select box a (direct Deposit) or b (money Network Service) Sign, print name and date at the bottom of the form On page 2 select: New Enrollment Priority - check all Fill in the following fields

5 Transit #, also known as routing number Account # Amount - print all Check the box for either checking or savings account Checking account - attach a voided check with your preprinted name & address Savings account - attach a letter from your bank indicating that you are the owner of the account, transit/aba# and account # Employee Signature Date should read the date of your orientation, for example, 04/12/ OSHA Safety and Hazardous Communication Acknowledgement This form acknowledges that you have been informed about safety guidelines in order to protect associates while on the job Date should read the date of your orientation, for example, 04/12/ Alcohol Service Training Certification Acknowledgement England Sportservice that you will be trained on the Company s Alcohol Service Policy. Please read the agreement and release form Date should read the date of your orientation, for example, 04/12/17 You will become TiPS certified (alcohol training program) Please bring the completed forms to your Return Orientation. Please ensure ALL forms are completed thoroughly following the instructions given for each document. Thank you!

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