Document Checklist for Temporary & Part-time (Less than 20 hrs) U.S. Based Employees
Print and refer to this checklist as a guide to completing and returning the appropriate employment paperwork. See instructions below.
1. Click the print icon below to print and complete the checklist.
2. Click on underlined links to view documents and complete forms.
3. Complete, print, and submit the documents in Section 1 and read documents in Section 2.
Once completed, check each box on the printed checklist to acknowledge that you have read and understand the documents. Please return this signed checklist with all the completed forms to the HR Service Center no later than your first day of employment.

SECTION 1: Personnel Forms – PRINT & RETURN FORMS ONLY
Must be printed and returned 5 days before your start date.
□ Signed original Offer Letter
□ Employee Basic Data Form
□ I-9 Form, Employment Eligibility Verification (I-9 documentation is required to work in the U.S.)
I-9 Instructions and Agent Form I-9 Form I-9 Example
□
Employee Confidentiality Agreement
□ Indebtedness Statement
□ W-4 Form, Employee's Witholding Allowance Certificate
□ State Tax Form, Employee's Witholding Allowance Certificate
Please pick your appropriate State of Residency
California Georgia Illinois Maryland Massachusetts New Jersey
New York N. Carolina Ohio Virginia Washington DC West Virginia
□ Important Tax Information US Citizens and Residents
□ Payroll Direct Deposit Authorization Form (U.S. bank account only)
□ Conflict of Interest Statement (General or Fundraiser form as noted on your Emploment Information Form)
General Fundraiser
SECTION 2: Policy Information
(Please read the following material. You do not need to return the documents; however, please check the boxes to acknowledge you have read and understood the materials)
□ Employee Handbook - http://careweb.care.org/help/ehandbook
□ Code of Conduct & Accountability to Program Participant Communities
□ Code of Ethics & Conduct
□ HIPAA Privacy Policy
Please sign, print your name and date below, confirming that you have read and completed all the necessary documents. Please note that delays in receiving completed paperwork will delay processing and hence prevent your payroll from being activated. Your quick response is imperative in successfully onboarding you to CARE. For questions & support please contact HRServiceCenter@care.org or call +1.404.979.9511.
_______________________________ ____________________________ ________________
Employee Name Signature Date
Documents can be emailed, faxed or mailed to:
CARE USA
c/o Human Resources
151 Ellis Street
Atlanta, GA 30303
Fax: +1.404.589.2630
Email: HRServiceCenter@care.org
For HR Use Only
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