Online Payroll

Employment Application

MISC METAL FABRICATION LLC

You Are Entering a Secured Web Site!

Maintaining system security is a high priority for us. With that in mind, we will be asking for identity information.

Additionally, in order to properly manage your records, there is information we require from you. We use this information to keep in compliance with other pertinent institutions; be it your employer, many local, state and/or federal agencies.

PLEASE READ CAREFULLY. Please answer all questions on this form to the best of your ability. Your qualifications will be carefully reviewed and you will be given consideration for any suitable vacancies. If our client company employs you, this application may become part of your permanent personnel record.

Fields marked with an asterisk (*) are required. Please enter the information below.

CONFIDENTIAL
First, we need to know your Social Security Number (SSN) or Employee Tax ID Number.
SSN:*

SOCIAL SECURITY NUMBER (SSN) - Please, verify its accuracy.
For your own security, this field cannot be changed online!

LAST NAME:*

IF THE EMPLOYEE HAS TWO LAST NAMES: Please enter both last names using a space between them.

OTHER LAST NAMES:

NEW REQUIRED FIELD FOR I-9 FORM: The I-9 form now has this field as REQUIRED. If the employee has used OTHER last names (like MAIDEN NAMES, please enter it here. Otherwise, leave blank. Employees with TWO LAST NAMES should enter them BOTH in the box above.

FIRST NAME:*

MIDDLE NAME:

Passwords are assigned by our system. Upon successful registration, we will send you an e-mail with your system's password.

E-MAIL ADDRESS:*

E-MAIL ADDRESS - Please, verify its accuracy.
Used by us to assign your system passwords.

BIRTH DATE:*

GENDER:*

ADDRESS LINE:*

APT/STE/UNIT:

CITY:*

STATE:*

ZIP CODE:*

HOME PHONE:*

CELL PHONE:*

SECURITY QUESTION 1:*

SECURITY ANSWER 1:*

SECURITY QUESTION 2:*

SECURITY ANSWER 2:*

SECURITY QUESTION 3:*

SECURITY ANSWER 3:*

APPLICANT'S STATEMENT

I certify that I am at least 18 years of age and eligible to work in the United States.
I understand that the first 90 days of my employment will be on an initial probationary period.
I understand and agree that if employed, the employment relationship can be terminated at will without notice or cause by either party, regardless of any other oral or written statements issued prior to, at, or following the date of employment, unless in writing, dated, and executed by both parties.
I hereby authorize Basic Business Solutions (BBS) to conduct any investigation it deems necessary.
I hereby authorize BBS to release such information together with their opinions on these matters without any liability for any damage whatsoever caused either directly or indirectly by giving or receiving this information or opinions.
I authorize my former and present employers (unless otherwise indicated) to give any information they may have concerning my employment record, and I release all such employers and their agents and employees from any damages I might incur from their furnishing information to BBS .
I understand that any false statements or omission of facts on this application may be grounds for refusal to hire, or immediate discharge.
I am willing to take physical and other examinations when required, once a bona fide job offer has been extended to me.
I understand that in order for this application to remain in full force and effect, I may be called upon to update and renew it periodically.
I understand that this application will be active for a period of 12 months.

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Online Payroll