This form will collect the following information from you:

1. Proof that you are eligible to work in the U.S.: Some examples include: Social Security Card, DHS Authorization letter, Birth Certificate, etc. [See the list of approved forms of ID in the I-9 Form instructions.] If you have an item from List A, then you don’t need proof from List C.
2. Documentation with a photo of you to prove your identity: Some examples include: Driver’s License, State-issued ID, Passport, School ID with photo, Voter’s registration card, Military-issued ID card, etc. [See the list of approved forms of ID in the I-9 Form instructions.] If you have an item from List A, then you don’t need proof from List B.
3. Information for State income tax: DE-4
4. Information for Federal income tax: W-4
5. Information to process your pay

If you have an item from List A, then you don’t need proof from Lists B and C.

The federal government does not allow modification or copying of the I-9 and W-4 forms into new documents or forms. We can only attach the PDFs from the government site.

The State of California does not allow modification or copying of the DE-4 form into a new document or form. We can only attach the PDF from the government site.

The forms are provided below.

 Please ensure that you have the following items and information accessible before proceeding:

1. Taxpayer ID Number: Social Security Number or Employer ID Number
2. Completed I-9 Form: https://www.uscis.gov/sites/default/files/document/forms/i-9.pdf
3. Completed DE-4 Form: https://edd.ca.gov/siteassets/files/pdf_pub_ctr/de4.pdf
4. Completed W-4 Form: https://www.irs.gov/pub/irs-pdf/fw4.pdf

This form is for RSS W-2 Workers ONLY. If you are a 1099 Independent Contractor, this is not the form for you. Do not proceed. Please contact HR at HR@RodgersSecuritySolutions.com 

All employees can choose which acceptable documentation to present for Form I-9. Employers cannot ask employees for documentation to verify information in Section 1, or specify which acceptable documentation employees must present for Section 2 or Supplement B, Reverification and Rehire.

You can complete the forms using any of these methods:

1. Print them, complete, sign, and date. Then bring the documents and two forms of ID (one that proves your identity and the other that proves your eligibility to work in the U.S) to the RSS Command Post (where you clock in/out).
2. – OR- Print the documents, complete, sign, and date. Then scan or screenshot them and upload them, and your forms of ID to this form. Then you can bring your two forms of ID (one that proves your identity and the other that proves your eligibility to work in the U.S) to the RSS Command Post (where you clock in/out).
3. – OR- Type your information directly into the forms, sign using your e-signature, or type your name into the signature box and date. The state and federal government allows typed signatures and dates, as long as you are properly handling the documents. For your proof, take a screenshot. Once you are done with the documents, upload them and your forms of ID into the Intake Form below. You can bring your two forms of ID (one that proves your identity and the other that proves your eligibility to work in the U.S) to the RSS Command Post (where you clock in/out) for physical verification.
4. – OR- Type your information directly into the forms, sign using your e-signature, or type your name into the signature box and date. The state and federal government allows typed signatures and dates, as long as you are properly handling the documents. Once you are done with a document, take a screenshot. Once you have screenshots of each document, upload them and your forms of ID into the Intake Form below. You can bring your two forms of ID (one that proves your identity and the other that proves your eligibility to work in the U.S) to the RSS Command Post (where you clock in/out) for in-person physical verification.

If you have the items above, please proceed. If not, please complete them and return to this form when you are ready to upload them to our system.

NOTE: Incomplete forms will delay processing.

Your Contact Information

Tax & Identity Information

For individuals who use financial apps such as Venmo, CashApp, PayPal, Chime, Varo, etc.

Your initial response to the payroll payment method option might be to select “Other” because you don’t think you can receive Direct Deposit, but each of those apps uses banks to process the financial transactions. That means there is a Bank Routing number for your provider, and a designated Account Number assigned to you. Once you access that information, you can share it with us so we can process your payroll.

VENMO

In Venmo, click on “Me” and next to your Balance you will see “Account & Routing.” Click on that link and you will find the Account Number and Routing Number to set up Direct Deposit.

CASHAPP

In CashApp, at the bottom left you will click on the icon/link that shows you your “Cash Balance.” Click on the Cash Balance link and it will open to a new screen. On that screen you will find “Account Details” and the routing and account number will be there. CashApp even provides you with information on how to use these numbers for other purposes.

PAYPAL

Login to your Paypal account and click on your Profile or “Account Settings” and then click on “Direct Deposit.” There you will find the direct deposit routing and account numbers, and other important information.

CHIME

Login to your Chime app and navigate to “Move Money,” then click on “Set up direct deposit.” There you will find your routing and account numbers.

VARO

Varo gives you two locations to access your direct deposit information:

1) Open your Varo app and navigate to your Bank or Savings Account. Then, tap the gear icon in the top right corner, and toggle “Show account number(s)” to view both your routing and account numbers.

2) You can also find this information within the “Move Money” section of the app.

Important Notice About Using Cash App, Venmo, and Other Financial Apps for Direct Deposit

If you choose to receive your pay via Cash App, Venmo, Chime, or similar financial apps or prepaid cards, you must first enable direct deposit within the app and ensure your account is fully verified. Submitting routing and account numbers without activating direct deposit may result in payment rejection and delays of up to 5 business days while funds are returned to RSS.

To avoid disruptions:

• Confirm your app/account is set up to receive ACH direct deposits
• Use only the official routing/account info provided by the app
• Double-check that your account is active and eligible to receive payroll payments

RSS is not responsible for delays caused by unverified or improperly set up accounts.

I hereby authorize Rodgers Security Solutions Inc. to deposit any wages, reimbursements, or other payroll payments directly into the bank account listed below. This authorization will remain in effect until I provide written notice of cancellation or change.

I understand and agree to the following:

1. This authorization replaces any previous instructions and remains in effect until revoked by me in writing.
2. I will notify Rodgers Security Solutions immediately if my banking information changes.
3. Rodgers Security Solutions may initiate adjustments (debits or credits) for any entries made in error.
4. I am responsible for verifying deposits and notifying the payroll department of any discrepancies.
5. I understand that my final paycheck may be issued as a paper check at the employer’s discretion.