Payroll Agreement Form
Employee payroll Information
Personal Information Consent
AGREEMENT TO DEDUCT PAYROLL FEE –
SEC. 13(3) ESA,2000
been provided all the information regarding payroll policies on the date of
________ I must submit my hours worked during the previous week and have them signed off by my supervisor no later than Mondays 3:00pm local time.
________ I understand the I must send all request regarding payroll no later than Monday of each week.
________ Any hours that are submitted after payroll is closed end of business day every Tuesday of each week, will be paid on the following pay period.
________ It is my responsibility to provide correct and current mailing address for delivery of their pay cheques. In the event Trillium must re-issue a cheque due to inaccurate mailing address, a banking service charge of $35.00 will be applied and deducted from the new cheque.
________ If an incorrect bank account number is given for direct deposit or bank account has been close, a manual cheque will then be issued and mailed to the employee. A banking service charge of $35.00 will be applied and deducted from the cheque.
Trillium Interim Staffing Inc.
Employee Signature :
TIS Consultant Signature :
(To whom the pdf wil be mailed)
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