HCarr New Hire Packet

Enter your access code

You should have received this code from HCarr.

Access code

Personal information

Fields marked * are required.

First name

Middle initial

Last name

Street address

Apt / unit

City

State

ZIP

Needed for direct deposit setup — the bank will contact you at this address.

Cell phone (10 digits)

Home phone (10 digits)

Date of birth

Social Security number

Gender Male Female

Are you a veteran of the U.S. military? Yes No

Branch

Emergency contact

Name

Relationship

Phone

Union information

Enter your union details as they appear on your card.

Union / Local #

Member ID / card #

Other trade

Trade classification Journeyman Apprentice Other

Other classification

Apprentice year / period

Federal withholding (Form W-4)

Answer the same way you would on the IRS Form W-4. Leave dollar amounts blank if they don't apply. See irs.gov/w4 for instructions.

Step 1(c) Filing status Single or Married filing separately Married filing jointly or Qualifying surviving spouse Head of household

Step 2(c): I hold more than one job at a time, or am married filing jointly and my spouse also works (and the two jobs have similar pay) Step 3: Claim dependents

Only if your total income will be $200,000 or less ($400,000 or less if married filing jointly).

Qualifying children under 17

Other dependents

Step 4(a): Other income ($)

Step 4(b): Deductions ($)

Step 4(c): Extra withholding per pay period ($) I claim exemption from withholding Signature

Sign with your finger or mouse

Employment eligibility (Form I-9, Section 1)

Your name, address, date of birth, SSN, email and phone from the first page will be used. You'll upload your identity documents later.

Other last names used (if any)

I attest that I am (check one): 1. A citizen of the United States 2. A noncitizen national of the United States 3. A lawful permanent resident 4. A noncitizen (other than 2 and 3) authorized to work

USCIS A-Number

Work authorization expiration date

Provide one of: A-Number (above), I-94 admission number, or foreign passport number and country.

Form I-94 admission number

Foreign passport number

Passport country of issuance

Someone helped me prepare or translate this form

Preparer / translator first name

Last name

Street address

City

State

ZIP

The preparer or translator must also sign Supplement A of the I-9 by hand.

Signature

Sign with your finger or mouse

Appendix D to 1910.134 (Mandatory)

Information for Employees Using Respirators When Not Required Under the Standard

Respirators are an effective method of protection against designated hazards when properly selected and worn. Respirator use is encouraged, even when exposures are below the exposure limit, to provide an additional level of comfort and protection for workers. However, if a respirator is used improperly or not kept clean, the respirator itself can become a hazard to the worker. Sometimes, workers may wear respirators to avoid exposures to hazards, even if the amount of hazardous substance does not exceed the limits set by OSHA standards. If your employer provides respirators for your voluntary use, or if you provide your own respirator, you need to take certain precautions to be sure that the respirator itself does not present a hazard.

You should do the following:

Read and heed all instructions provided by the manufacturer on use, maintenance, cleaning and care, and warnings regarding the respirator's limitations.
Choose respirators certified for use to protect against the contaminant of concern. NIOSH, the National Institute for Occupational Safety and Health of the U.S. Department of Health and Human Services, certifies respirators. A label or statement of certification should appear on the respirator or respirator packaging. It will tell you what the respirator is designed for and how much it will protect you.
Do not wear your respirator into atmospheres containing contaminants for which your respirator is not designed to protect against. For example, a respirator designed to filter dust particles will not protect you against gases, vapors, or very small solid particles of fumes or smoke.
Keep track of your respirator so that you do not mistakenly use someone else's respirator.

I have chosen to voluntarily wear a filtering face piece respirator ("dust mask"). As such, I have been provided a copy of the above Appendix D to 29 CFR 1910.134 (OSHA's Respiratory Protection Standard) by my employer, H. Carr & Sons. I have read, understand and shall comply with the information provided. Signature

Sign with your finger or mouse

Upload documents

Take a clear photo of each document (front and back), or choose a file. Photos and PDFs are accepted.

For your I-9, which documents will you provide? My driver's license / state ID and Social Security card uploaded below One document from List A (e.g. U.S. passport, permanent resident card) A different List B and List C document (e.g. birth certificate)

See the acceptable documents list.

Review & submit

Everything below must be checked before you can submit.

I have uploaded all required documents. The information I provided is true and accurate.

Packet submitted ✓

Thank you. HCarr has received your paperwork and will contact you to schedule your first-day meeting. Please bring the original documents you uploaded.

You can close this page.