New Employee Form | Existing Employee Form             All fields in RED are required.   EMPLOYEE INFORMATION   Employee Name   Job Title   WC Code   Address   City State Zip   Home Phone   COMPANY INFORMATION   Working At...   Supervisor Name   Supervisor Dept   Company Name   Address   City State Zip   Phone        Fax      Send Invoice To...      Contact Name   Contact Dept.   Company Name   Address   City State Zip   Phone        Fax      Credit Information...   Approximate   Size Of   Company: Large nat'l or internat'l co. Large local or regional co. Mid-size local co. Small local co. or sole proprietor   Industry/Business Type:      Website (if known)      Have you done business with this   company before?    Yes No   Approximate years in business:    1-3    4-9    10+    Don't Know   What is your comfort level with this company's   ability to pay?   High   Fair   Don't Know   Comments:       Start Date Approx. End Date RECRUITER INFORMATION Your Name Company Name Split Recruiter 1 Split Recruiter 2 Email Rate Information...  Company Bill Rate $  Less Employee Pay Rate $  Less Payroll Burden (% of Pay Rate) $  Less TFI Fee ( % of Bill Rate) $  Recruiter Profit $ Overtime exempt? Yes No Overtime Bill Rate $ (typically 1.5 times the regular bill rate unless exempt) Pre-Employment Services: Criminal Background Screen Pre-Employment Drug Screen Credit Report DMV (Driving) Report Social Security Verification Employment History Education Verification NOTE: To order the above services, please complete an online request. Written approval from the employee for release of information will be required. Special Instructions (if any)...