Employee Information Form
EMPLOYEE INFORMATION FORM
[Employer Name]
Hire Date: [Hire Date]
Form Completed: [Form Date]
This form contains confidential employee information. Store securely in the employee's personnel file, separate from medical records.
SECTION 1 — PERSONAL INFORMATION
Full Legal Name: [Employee Name]
Preferred Name: [Preferred Name]
Date of Birth: [Date Of Birth]
Home Address: [Home Address]
State of Work: [Work State]
Phone: [Personal Phone]
Personal Email: [Personal Email]
SECTION 2 — EMPLOYMENT DETAILS
Job Title: [Job Title]
Department: [Department]
Direct Supervisor: [Supervisor Name]
Employment Type: [Employment Type]
FLSA Classification: [FLSA Classification]
SECTION 3 — PAYROLL INFORMATION
Pay Frequency: [Pay Frequency]
Pay Delivery: [Direct Deposit Preference]
Note: Employees electing direct deposit must complete a separate Direct Deposit Authorization form and provide a voided check or bank letter. Employee must also complete Form W-4 (Federal Tax Withholding) and applicable state withholding form.
SECTION 4 — EMERGENCY CONTACT
Emergency Contact: [Emergency Contact Name]
Relationship: [Emergency Contact Relationship]
Phone: [Emergency Contact Phone]
SECTION 5 — I-9 EMPLOYMENT ELIGIBILITY NOTICE
All employees must complete USCIS Form I-9 (Employment Eligibility Verification) on or before their first day of work for pay. The employee must complete Section 1 on Day 1. The employer must complete Section 2 within three business days of the employee's first day. Original, unexpired identity and work authorization documents are required. The Company does not discriminate in the I-9 process based on citizenship, national origin, or immigration status.
EMPLOYEE CERTIFICATION
I certify that the information provided on this form is complete and accurate to the best of my knowledge. I agree to promptly notify HR of any changes to my personal information, emergency contact, or employment status.
Employee Signature: _______________________________ Date: _______________
Printed Name: [Employee Name]
HR / Onboarding Coordinator: _______________________________ Date: _______________
Employee
________________
Signature
HR Representative
________________
Signature
What Is a Employee Information Form?
An Employee Information Form in the United States captures the structured information needed to complete the process it supports.
Several federal statutes drive the core data collection requirements. The Internal Revenue Code requires employers to collect IRS Form W-4 (Employee's Withholding Certificate) from each new hire to establish the correct federal income tax withholding rate. Regulation at 26 C.F.R. § 31.3402(f)(2)-1 requires employees to furnish a W-4 before or on the first day of work. The Immigration Reform and Control Act (IRCA), 8 U.S.C. § 1324a, requires all employers to verify employment eligibility by completing Form I-9 no later than the first day of work for pay. The Fair Labor Standards Act (FLSA), 29 U.S.C. § 211(c), and its implementing regulations at 29 C.F.R. § 516 require employers to maintain accurate payroll records including employee name, Social Security number, address, and work schedule for at least three years.
State new hire reporting laws add an independent requirement. The Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (PRWORA), 42 U.S.C. § 653a, requires employers to report each new hire to the state's new hire registry within 20 days of the date of hire (or the first paycheck date). The state registry uses this information to enforce child support orders. The Employee Information Form provides the underlying data — employee name, address, Social Security number, and employer EIN — required for new hire reporting.
The Americans with Disabilities Act (ADA), 42 U.S.C. § 12112(d), and the Genetic Information Nondiscrimination Act (GINA), 42 U.S.C. § 2000ff, impose strict limitations on the medical and health information employers may collect from employees. The ADA prohibits pre-offer medical inquiries and limits post-offer, pre-employment medical examinations. GINA prohibits employers from requesting, requiring, or purchasing genetic information, including family medical history. An Employee Information Form that requests information about disabilities, medical conditions, or family health history before a conditional offer of employment violates both statutes.
The Employee Information Form is distinct from Form I-9, Form W-4, and benefits enrollment forms — but works in conjunction with all of them. Best practice is to use the Employee Information Form to capture general personal, contact, and payroll routing information, while using the federally mandated forms (I-9, W-4, state W-4 equivalents) as separate, standalone documents in the onboarding packet.
When Do You Need a Employee Information Form?
US employers need an Employee Information Form at specific points in the employment lifecycle, with new hire onboarding as the primary context.
Every new hire — whether full-time, part-time, temporary, or seasonal — must complete an Employee Information Form before the first paycheck is issued. The form is required to establish federal and state income tax withholding, set up direct deposit, create the payroll record required under the FLSA and state wage payment laws, designate an emergency contact, and gather the personal data needed for benefits enrollment and new hire reporting under PRWORA.
Relocation or address changes require employees to update the Employee Information Form to maintain accurate payroll, W-2, and emergency contact records. Employers must update payroll records promptly when an employee moves to a different state, because multi-state tax withholding obligations arise when an employee's state of residence differs from the state where they work.
Name changes — following marriage, divorce, or a legal name change — require updating the Employee Information Form so that payroll records, W-2 forms, and benefit plan records reflect the employee's current legal name. Discrepancies between payroll records and Social Security Administration records can trigger SSA no-match letters and FICA reconciliation issues.
Direct deposit changes require a new authorization entry on the Employee Information Form or a standalone direct deposit authorization form. Under the Electronic Fund Transfer Act (EFTA), 15 U.S.C. § 1693, employers who pay wages by direct deposit must obtain the employee's voluntary written authorization. Several state wage payment laws — including California Labor Code Section 213, New York Labor Law Section 192, and Texas Payroll Code Section 20.082 — regulate direct deposit and require employer compliance with employee authorization requirements.
Annual audit and verification: HR departments should verify Employee Information Form data annually — particularly emergency contacts, beneficiary designations, and tax withholding — as personal circumstances change. An outdated emergency contact or incorrect tax withholding can create significant practical and compliance problems.
What to Include in Your Employee Information Form
A complete US Employee Information Form must collect the following categories of information to satisfy employer compliance obligations and operational needs.
Personal identification fields must capture the employee's full legal name (first, middle, and last as shown on Social Security card), any preferred name or nickname, date of birth (for benefits eligibility verification and I-9 age verification), and Social Security number. The SSN is required for IRS W-2 reporting (26 C.F.R. § 31.6051-1), FICA tax withholding, new hire reporting under PRWORA, and benefits plan administration. Employers must protect SSNs under applicable state privacy laws, including California Civil Code Section 1798.85 (prohibiting public display) and similar statutes in New York, Texas, and other states.
Contact information fields must collect the employee's current residential address (street, city, state, ZIP), mailing address if different, personal phone number (mobile and/or home), and personal email address. The residential address is critical for new hire reporting, W-2 mailing, state income tax withholding determination, and state-specific employment law applicability.
Employment classification fields should capture the employee's job title, department, reporting manager, hire date, employment type (full-time, part-time, temporary, seasonal), FLSA classification (exempt or non-exempt), and scheduled hours per week. The FLSA classification determines overtime entitlement, and the hire date establishes the start of waiting periods for benefits, I-9 verification deadlines, and FMLA eligibility calculation.
Tax withholding fields must capture the employee's W-4 elections — filing status (single/married filing separately, married filing jointly, or head of household), multiple jobs adjustment, dependent credits, other income deductions, additional withholding amount, and exemption claim — per the 2020 revised Form W-4. State W-4 equivalent forms (such as California DE-4, New York IT-2104, or Illinois IL-W-4) must be collected for employees working in states with income tax. If an employee fails to complete a W-4, the employer must withhold as single with no adjustments per IRS Publication 15.
Payroll and direct deposit fields must capture the employee's preferred payment method (check or direct deposit), and for direct deposit: the bank name, ABA routing number, account number, and account type (checking or savings). The form must include an authorization statement confirming the employee voluntarily authorizes electronic payment under the EFTA. For split deposits, multiple account entries are needed.
Emergency contact fields must capture at least one emergency contact's full name, relationship to the employee, primary and alternate phone numbers, and authorization to contact in an emergency. Employers may not use emergency contact information for other purposes (such as debt collection or benefit enrollment) without the employee's separate consent.
Data retention notice: Employee Information Forms are personnel records subject to retention requirements under the FLSA (3 years for payroll records), ADEA (3 years), and state law — California Labor Code Section 1198.5 requires 3-year retention after termination; New York requires 6 years for payroll records. The form should note that information is collected for employment-related purposes only and is subject to the employer's data security and privacy policies.
Sources & Citations
Statutory citations link to official government sources.
- 8 U.S.C. § 1324aUS – Cornell LII
- 29 U.S.C. § 211US – Cornell LII
- 42 U.S.C. § 653aUS – Cornell LII
- 42 U.S.C. § 12112US – Cornell LII
- 42 U.S.C. § 2000fUS – Cornell LII
- 15 U.S.C. § 1693US – Cornell LII
- 26 C.F.R. § 31.3402US – eCFR
- 29 C.F.R. § 516US – eCFR
- 26 C.F.R. § 31.6051US – eCFR
- Americans with Disabilities ActUS – Cornell LII
- ADAUS – Cornell LII
- ADEAUS – Cornell LII
- FMLAUS – Cornell LII
- Fair Labor Standards ActUS – Cornell LII
- FLSAUS – Cornell LII
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Reference this free template in an article, syllabus, or research note:
Forms Legal. (2026). Employee Information Form (United States) [Legal document template]. Forms Legal. https://forms-legal.com/usa/employment/hr-forms/employee-information-form
"Employee Information Form (United States)." Forms Legal, 2026, https://forms-legal.com/usa/employment/hr-forms/employee-information-form.
@misc{formslegal-employee-information-form,
author = {{Forms Legal}},
title = {Employee Information Form (United States)},
year = {2026},
howpublished = {\url{https://forms-legal.com/usa/employment/hr-forms/employee-information-form}},
note = {Free legal document template. Based on Fair Labor Standards Act (29 U.S.C. §201-219)}
}Frequently Asked Questions
Employers may collect a wide range of personal information from new employees for legitimate business, payroll, and compliance purposes. Standard new hire information includes: full legal name, address, and contact information; Social Security number (required for payroll tax withholding and W-2 issuance); date of birth (for benefit plan enrollment and age verification); bank account information for direct deposit; tax withholding elections (Form W-4 for federal; state equivalent forms where applicable); I-9 employment eligibility verification documents; emergency contact details; and job-related background information. Employers must be cautious about collecting information not directly relevant to employment, as this can create legal exposure. Collecting medical information prior to a conditional offer of employment may violate the ADA; collecting genetic information may violate GINA; and collecting information about protected characteristics (race, religion, national origin) before hire could evidence discriminatory intent under Title VII.
Under the Immigration Reform and Control Act (IRCA), employers must verify that all newly hired employees (including citizens and nationals) are authorized to work in the United States by completing Form I-9 no later than the first day of employment for pay. The employee must complete Section 1 (attestation of status and identity) on or before their first day of work for pay. The employer must complete Section 2 (document examination) within three business days of the employee's first day of work for pay — or on the first day of work if the employment period is three days or less. The employee must present original, unexpired identity and work authorization documents from the I-9 Lists of Acceptable Documents. Employers may not dictate which acceptable documents the employee presents, and must accept any qualifying document combination without discrimination based on citizenship or national origin.
Retention requirements for employee information vary by document type and applicable law. I-9 forms must be retained for three years from the date of hire or one year after employment ends, whichever is later. Payroll records, including W-4 forms and direct deposit authorizations, must be retained for at least four years under IRS and FLSA regulations. Personnel records generally should be retained for a minimum of one to three years after termination under various federal laws (Title VII, ADEA, ADA). Benefits enrollment records must be retained for six years under ERISA. State laws often impose additional retention requirements — California requires personnel file retention for three years after termination (Cal. Lab. Code § 1198.5), and New York requires payroll records for six years. Employers should establish a records retention schedule that meets the most stringent applicable federal and state requirements, and should implement secure destruction procedures at the end of the retention period.
IRS Form W-4 (Employee's Withholding Certificate) is the document an employee uses to inform their employer how much federal income tax to withhold from their paycheck. All new employees must complete a W-4 on or before their first day of work. The W-4 revised in 2020 eliminated the allowance system and now asks employees to provide filing status, multiple jobs or spouse works, dependent claims, additional income from other sources, additional withholding, and exemption from withholding if applicable. Employers must implement W-4 instructions by the start of the first payroll period ending on or after the 30th day after receiving the form. If an employee fails to submit a W-4, the employer must withhold at the default rate (single/married filing separately with no adjustments). Employees may submit a new W-4 at any time to adjust withholding; employers must implement the change within the next payroll period.
Employee information forms contain highly sensitive personal data — including Social Security numbers, financial account details, and medical information — that must be protected under applicable federal and state privacy laws. Key data security obligations include: maintaining employee records in secure, access-controlled systems (physical locks for paper records; password protection, encryption, and access logging for electronic records); limiting access to employee data to those with a legitimate need to know; separating medical and disability-related information into files distinct from general personnel records (required by the ADA); implementing written data security policies and training employees who handle personal data; and having a breach response plan. Most states have enacted data breach notification laws that require employers to notify affected employees if their personal data is compromised. California's CPRA grants employees additional rights over their personal data held by employers. Social Security numbers are particularly sensitive and should never be stored in unsecured systems.
This template is provided for informational purposes only and does not constitute legal advice. Laws vary by jurisdiction and change over time. Consult a qualified attorney for advice specific to your situation.Full disclaimer
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