HomeYour Money Your Way Go Back Complete the following form to ensure your payroll and tax form distribution is accurate and on time. Tax & Payroll Intake Form [W2]To be completed by all W2 personnel, regardless of length of contract, employment, or assignment. Please be prepared to provide direct deposit information, upload your W-4, I-9, DE-4, and supporting documentation to this form. This form is NOT for 1099 independent contractorsPlease enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. – Step 1 of 3This form will collect the following information from you: 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.] 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.] Information for State income tax: DE-4 Information for Federal income tax: W-4 Information to process your pay 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: Taxpayer ID Number: Social Security Number or Employer ID Number Completed I-9 Form: https://www.uscis.gov/sites/default/files/document/forms/i-9.pdf Completed DE-4 Form: https://edd.ca.gov/siteassets/files/pdf_pub_ctr/de4.pdf Completed W-4 Form: https://www.irs.gov/pub/irs-pdf/fw4.pdf 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: 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). – OR- Print the documents, complete, sign, and date. Then scan or screenshot them and upload them 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). – 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 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). – 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 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). 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 may delay processing. Your Contact Information Name *FirstLastEmail *Phone Number *Secondary Phone [Only include if a different phone number]Don’t retype the same number as aboveAddress *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDate of BirthTaxpayer ID Number [Social Security Number] *Enter your taxpayer identification number, which is your social security numberNextTax & Identity Information Is your DE-4 Form complete, signed, dated, and ready to upload to this Intake Form? If not, please complete it and then return to this Intake Form *Yes, I will upload it to this formNo, I had tech issues. I will bring in a paper version or request one in-person.No, I have not completed one. I will bring in a paper version or request one in-person.Employee’s Withholding Allowance Certificate Complete this form so that your employer can withhold the correct California state income tax from your pay.Is your W-4 Form complete, signed, dated, and ready to upload to this Intake Form? If not, please complete it and then return to this Intake Form *Yes, I will upload it to this formNo, I had tech issues. I will bring in a paper version or request one in-person.No, I forgot to complete it. I will bring in a paper version or request one in-person.Is your I-9 Form complete, signed, dated, and ready to upload to this Intake Form? If not, please complete it and then return to this Intake Form *Yes, I’m uploading to this formNo, I had tech issues. I will bring in a paper version or request one in-person.No, I haven’t completed it. I will bring in a paper version or request one in-person.If your documents are not complete and ready to upload to this Intake Form Don’t proceed. Complete the documents and then return to this form to upload them. If you proceed with an incomplete form, you must check the applicable boxes indicating you will bring to RSS paper versions of the missing form(s). Submitting an incomplete form delays processing your information for payroll, etc.. The Compliance and Payroll teams will reject or flag your submission until you have made corrections. TROUBLESHOOTING Government Forms If you are confused because the government forms don’t have an e-signature option for mobile devices, simply type your name into the signature line and be sure to date the form. Then take a screenshot of the document(s). Upload those screenshots to our Intake Form. Now you and RSS have proof of your submission. FINANCIAL INFORMATION FOR APPLICANTS WITHOUT BANK OR CREDIT UNION ACCOUNTSTo ensure you are paid correctly and on time. 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. No Financial Institution or Payment Processing Card?If you don’t have a bank/credit union account or an alternative source like CashApp, where you can provide routing and account information for direct deposit.PAPER CHECK OPTION *I don’t have a bank/credit union or alternative account. I need a paper check.N/A- I have my banking informationThank you for letting us know that you require a paper check. Please skip the Financial Institution information below and proceed to the next page to upload your forms and supporting documents Financial Institution ConfirmationConfirm you have read the above information and are ready to provide your direct deposit authorization and details *Yes, I confirmDirect Deposit AuthorizationI 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: This authorization replaces any previous instructions and remains in effect until revoked by me in writing. I will notify Rodgers Security Solutions immediately if my banking information changes. Rodgers Security Solutions may initiate adjustments (debits or credits) for any entries made in error. I am responsible for verifying deposits and notifying the payroll department of any discrepancies. I understand that my final paycheck may be issued as a paper check at the employer’s discretion. Financial Institution NameAccount TypeCheckingSavingsRouting NumberAccount NumberI want 100% of my pay deposited into this accountYesNextPlease upload your I-9, W-4, DE-4 forms, and any supporting documents to our file uploader below. Upload your completed I-9, W-4, DE-4 forms and any related documents. File Upload Click or drag files to this area to upload. You can upload up to 10 files. Upload your I-9, W-4, DE-4 forms, and any supporting documents hereIf you did not attach your files in our file uploader, you will be required to bring them to RSS before or on your first shift day, or as requested by HR (or required by state/federal law). CERTIFICATIONSI understand that questions or concerns about my pay, schedule, or work assignment should be directed to RSS management or HR—not to clients or unrelated third parties, who don't have access to your personnel records. *YesI understand that any errors or omissions on my forms will delay processing my paperwork *YesI understand that I must bring either documentation from I-9 List A or two qualified forms of ID from I-9 form lists B&C to comply with federal law, to be verified by RSS Intake Staff or Command Post Admins *YesI understand that if I did not include my direct deposit information and did not select the "Paper check" option, then by default, I will be mailed a paper check. *YesI certify that that the information I provided on this form is truthful, accurate, and complete. *YesToday's Date *Submit