CONFIDENTIAL - Employee Census
PRINT (LANDSCAPE)
Period ___/__/____ through ___/__/____
Name_________
Pos
Sex
%
own
SS#
xxx-xx-xxxx
Date of
Birth
xx/xx/xx
Date of
Hire
xx/xx/xx
Date of
Term
xx/xx/xx
Mode
Compensation
Hours
__
1
__
2
__
3
__
4
__
5
__
6
Mode: A=Annual M=Monthly S=SemiMonthly B=BiWeekly W=Weekly H=Hourly
POS: P=Partner/Principal/Owner K=Key O=Other
FAX COMPLETED FORM TO: 714-842-1212
©2001-2002 SDCooper Company, Inc
Last modified on: 28-May-2004
