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New Employee Notice

Step 1 of 7

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  • Employee Information

    A=Asian, AA=African American, H=Hispanic, I=Indian, W=White
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  • SPOUSE INFORMATION

  • POSITION INFORMATION

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  • EMERGENCY CONTACT INFORMATION

  • EMPLOYEE ACKNOWLEDGEMENT OF WORKERS COMPENSATION NETWORK

  • LIBERTY HEALTHCARE NETWORK

    Workers Compensation Network Acknowledgement
  • I have received information that tells me how to get health care under workers’ compensation insurance. If I am hurt on the job and live in the service area described in this information, I understand that:

    1. I must choose a treating doctor from the list of doctors in the network, Or, I may ask my HMO primary care physician to agree to serve as my treating doctor.
    2. I must go to my treating doctor for all health care for my injury. If I need a specialist, my treating doctor will refer me. If I need emergency care, I may go anywhere.
    3. The insurance carrier will pay the treating doctor and other network providers.
    4. I might have to pay the bill if I get health cared from someone other than a network doctor without network approval.
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  • Name of Network: Liberty Health Care Network
  • DIRECT DEPOSIT AUTHORIZATION

  • To sign up for Direct Deposit, please complete the authorization below by following these instructions:
    1. Check the box indicating where you want your pay deposited--to your checking account or savings account.
    2. Fill in your account information.
    3. Electronically Sign and date the form.
    4. Provide a voided check or savings deposit slip for verification of your account information.
    On payday, you will receive an earnings statement showing your gross pay, tax and other deductions, and the net amount of your deposit. Your pay will be in your account and available to you. I authorize Speedie Pies or Slap Burger Bar and the financial institution named below to automatically deposit my net pay to my account (this includes my authorization for Speedie Pies or Slap Burger Bar to reverse any entries made in error). This authority will remain in effect until I give written notice to my payroll department.
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  • REQUIRED FORMS TO COMPLETE

  • Please click on the link below to complete the required IRS Form W-4. Once completed, please PRINT the documents out to be signed.

    IRS Form W-4

    Please click on the link below to complete the required I-9 form. Once completed, please PRINT the documents out to be signed.

    Employment Eligibility Letter Form I-9
  • FINAL SUBMISSION

  • Please click on 'Submit form' below to complete the Speedie Pies | Slap Burger Bar Electronic Onboarding Packet.

Contact Us

105 Avenue A
Denton, TX 76201
940-985-5252
slap@slapbb.com

New Employee On Boarding Form

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Location

105 Avenue A
Denton, TX 76201

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