Stage 5: Store Manager Validation

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 Martial Status Description *

Federal Exemptions *

Federal/W4 Extra $ Tax Amount *

State Marital Status Description *

State Exemptions *

State Extra $ Tax Amount *