Employee Information Form — Promisia - Aged Care and Retirement Living

Required Forms (if you are unable to print these forms your Manager can give you a copy)

Tax Declaration Form IR330
Kiwisaver Deduction Form
Kiwisaver Opt-out form
Police Vetting Form Please return to your Manager when complete

Facility Name

Department

Name

First Name

Last Name

Gender

Start Date (with company)

MM

DD

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Contact Number

(###)

###

####

Email

Main Bank Account Number

IRD Number

Tax Code

Child Support

Child Support amount

Kiwisaver Details

Deductions from wages (if applicable)