Online New Start Form 

Employee Information    *Use Tab to move between fields and enter only to submit

Start Date:

 Approx. End Date:

Employee Name:

Address:

City, State, Zip:

 Title:

Home Phone:

 Alt Phone:

                      

  Work Phone:

E-mail:

Company Information                                                     

Company Name:

Company Address

City, State, Zip:

Type of Business:

Invoice should be mailed to:

Main Phone:

Fax Number:

Agent   Information

Agent with Client:

             

Agent Company Name:

Agent With Employee:

 

Payroll & Hourly Billling Rates

Co. Bill Rate

Emp Pay rate

Gross Margin
Less TFS Fee       Mark-up %     

Agent Profit (hourly)

     Comments/Instructions