Drug Screening:I authorize and give full permission to have Construction Trades Staffing Inc., and/or a company designated physician send a specimen of my urine and/or blood to a lab for screening tests for the presence of illegal drugs, alcohol, or prescription medication taken without a prescription. I will hold all parties harmless, meaning I will not sue nor hold responsible for any alleged harm to me, or for interfering with my obtaining a job or continuing employment and not submitting to the test or as a result of the report of the test. This includes, but is not limited to, possible clerical or lab error. This policy and authorization is written in a language that I understand and I agree to adhere to the Construction Trades Staffing Inc. "Substance Abuse Policy". I understand and agree that a post accident drug screen will be required.
Driver's License Record Release/Criminal Record Release:I give Construction Trades Staffing Inc. permission to verify any/all records re: my NYS Drivers License. I give Construction Trades Staffing Inc. permission to obtain any/all criminal records and/or conviction files anywhere in the United States.I give Construction Trades Staffing Inc. express consent to release this information to their customers as it pertains directly to me being placed for work with that customer. In doing so I understand that I am waiving my right to confidentiality concerning my criminal, driving and past employment record
Medical Authorization:In the event of an on-the-job injury, I authorize full access to copies of medical records, radiology reports, drug/alcohol screenings, and documents of any kind relating to my past or present injury or illness to Construction Trades Staffing Inc. I hereby agree to release this information and hold all such medical providers harmless from the release of this information as set forth here.
Job Safety:I agree to report any unsafe working conditions to my job foreman and/or supervisor and Construction Trades Staffing Inc. I agree to wear any and all protective safety equipment given to me by my job foreman and/or supervisor and/or as required for and by my job duties.
Handbook:Furthermore, by signing below, the above named individual verifies they have received a copy of Construction Trades Staffing Inc. Employee Handbook & the Safety Checklist, and has read, fully understands and agrees to adhere to those policies and procedures incorporated therein and made part of this application.
As a Construction Trades Staffing employee are you are the face of our company. While working for our clients you must be the sole representative of our company.
While we strive to place each individual on a job, it is not always possible. When you "NO CALL, NO SHOW', you are not only poorly representing out company, you are putting our clients in a tough position, and taking away a potential job from another associate who would have shown up to work.
As long as you remain dependable and professional we will give you as many opportunities as we can find. We will not utilize our resources on associates who have let us down, hurt our clients, and take jobs away from other employees who want to work.
Associates who "NO CALL, NO SHOW" will be terminated from our company and will not be eligible for another position through Construction Trades Staffing Inc.
Employee's rate(s) of pay:$ blanks per blank $ blanks per blank$ blanks per blank
Allowances taken: None Tips Meals Lodging Other Tipsblanks per hourMeals blanks per mealLodging blanksOtherblanks
Overtime Pay Rate:$ blanks per hour (This must be at least 1 ½ times the workers' regular rate with few exceptions.)
Employee Acknowledgement:On this day, I received notice of my pay rate, overtime rate (if eligible), allowances and designated payday. I told my employer what my true primary language is.
The employee must receive a copy of this signed form. The employer must keep the original for 6 years.
I, blanks hereby authorize Construction Trades Staffing Inc. to initiate credit entries and if necessary, debit entries and any adjustments to credit entries into the accounts indicated above. This authority is to remain in full force and effect until otherwise noted in a written manner and at a reasonable amount of time to make the necessary changes. I also acknowledge that direct deposit is not guaranteed and will take no less than 10 days from my next check date to begin.
Department of the Treasury Internal Revenue Service Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay. Give Form W-4 to your employer. Your withholding is subject to review by the IRS.
Does your name match the name on your social security card? If not, to ensure you get credit for your earnings, contact SSA at 800-772-1213 or go to www.ssa.gov
Complete Steps 2–4 ONLY if they apply to you; otherwise, skip to Step 5.
TIP: To be accurate, submit a 2021 Form W-4 for all other jobs. If you (or your spouse) have self-employment income, including as an independent contractor, use the estimator.
Complete Steps 3-4(b} on Form W-4 for only ONE of these jobs. Leave those steps blank for the other jobs. (Your withholding will be most accurate if you complete Steps 3-4(b) on the Form W-4 for the highest paying job
If your income will be $200,000 or less ($400,000 or less if married filing jointly):
Employer's name and address
CONSTRUCTION TRADES STAFFING INC3959 N. BUFFALO RDORCHARD PARK, NY 14127
Employer identification number (EIN)
If you choose the option in Step 2(b) on Form W-4, complete this worksheet (which calculates the total extra tax for all jobs) on only ONE Form W-4. Withholding will be most accurate if you complete the worksheet and enter the result on the Form W-4 for the highest paying job.
Note: If more than one job has annual wages of more than $120,000 or there are more than three jobs, see Pub. 505 for additional tables; or, you can use the online withholding estimator at www.irs.gov/W4App.
1. Two jobs. If you have two jobs or you're married filing jointly and you and your spouse each have one job, find the amount from the appropriate table on page 4. Using the "Higher Paying Job" row and the "Lower Paying Job" column, find the value at the intersection of the two household salaries and enter that value on line 1. Then, skip to line 3.
1. $ blanks
2. Three jobs. If you and/or your spouse have three jobs at the same time, complete lines 2a, 2b, and 2c below. Otherwise, skip to line 3.
a) Find the amount from the appropriate table on page 4 using the annual wages from the highest paying job in the "Higher Paying Job" row and the annual wages for your next highest paying job in the "Lower Paying Job" column. Find the value at the intersection of the two household salaries and enter that value on line 2a
b) Add the annual wages of the two highest paying jobs from line 2a together and use the total as the wages in the "Higher Paying Job" row and use the annual wages for your third job in the "Lower Paying Job" column to find the amount from the appropriate table on page 4 and enter this amount on line 2b
c) Add the amounts from lines 2a and 2b and enter the result on line 2c
3. Enter the number of pay periods per year for the highest paying job. For example, if that job pays weekly, enter 52; if it pays every other week, enter 26; if it pays monthly, enter 12, etc.
4. Divide the annual amount on line 1 or line 2c by the number of pay periods on line 3. Enter this amount here and in Step 4(c) of Form W-4 for the highest paying job (along with any other additional amount you want withheld)
1. Enter an estimate of your 2021 itemized deductions (from Schedule A (Form 1040)). Such deductions may include qualifying home mortgage interest, charitable contributions, state and local taxes (up to $10,000), and medical expenses in excess of 7.5% of your income
3. If line 1 is greater than line 2, subtract line 2 from line 1 and enter the result here. If line 2 is greater than line 1, enter "-0-"
4. Enter an estimate of your student loan interest, deductible IRA contributions, and certain other adjustments (from Part II of Schedule 1 (Form 1040)). See Pub. 505 for more information
5. Add lines 3 and 4. Enter the result here and in Step 4(b) of Form W-4
Privacy Act and Paperwork Reduction Act Notice. We ask for the Information on this form to carry out the Internal Revenue laws of the United States. Internal Revenue Code sections 3402(ij(2) and 6109 and their regulations require you to provide this information; your employer uses it to determine your federal income tax withholding. Failure to provide a proper1y completed form will result in your being treated as a single person with no other entries on the form; providing fraudulent information may subject you to penalties. Routine uses of this information include giving it to the Department of Justice for civil and criminal litigation; to cities, states, the District of Columbia, and U.S. commonwealths and possessions for use in administering their tax laws; and to the Department of Health and Human Services for use in the National Directory of New Hires. We may also disclose this information to other countries under a tax treaty, to federal and state agencies to enforce federal nontax criminal laws, or to federal law enforcement and intelligence agencies to combat terrorism.
You are not required to provide the Information requested on a form that Is subject to the Paperwork Reduction Act unless the form displays a valid OMS control number. Books or records relating to a form or its instructions must be retained as long as their contents may become material in the administration of any Internal Revenue law. Generally, tax returns and return information are confidential, as required by Code section 6103. The average time and expenses required to complete and file this form will vary depending on individual circumstances. For estimated averages, see the instructions for your income tax return. If you have suggestions for making this form simpler, we would be happy to hear from you. See the Instructions for your income tax return.
Section 1. Employee Information and Attestation (Employees must complete and sign Section 1 of Form 1-9 no later than the first day of employment, but not before accepting a job offer.)
I am aware that federal law provides for imprisonment and/or fines for false statements or use of false documents in connection with the completion of this form.
I attest, under penalty of perjury, that I am (check one of the following boxes):
Aliens authorized to work must provide only one of the following document numbers to complete Form l-9:
An Alien Registration Number/USCIS Number OR Form 1-94 Admission Number OR Foreign Passport Number.
(Fields below must be completed and signed when preparers and/or translators assist an employee in completing Section 1.)
Section 2. Employer or Authorized Representative Review and Verification
(Employers or their authorized representative must complete and sign Section 2 within 3 business days of the employee's first day of employment. You must physically examine one document from List A OR a combination of one document from List B and one document from List C as listed on the "Lists of Acceptable Documents.)
Certification: I attest, under penalty of perjury, that (1) I have examined the document(s) presented by the above-named employee, (2)the above-listed document(s) appear to be genuine and to relate to the employee named, and (3) to the best of my knowledge the employee is authorized to work in the United States.
Section 3. Reverification and Rehires
(To be completed and signed by employer or authorized representative.)
If the employee's previous grant of employment authorization has expired, provide the information for the document or receipt that establishes continuing employment authorization in the space provided below.
I attest, under penalty of perjury, that to the best of my knowledge, this employee is authorized to work in the United States, and if the employee presented document(s), the document(s) I have examined appear to be genuine and to relate to the individual.
Penalty - A penalty of $500 may be imposed for any false statement you make that decreases the amount of money you have withheld from your wages. You may also be subject to criminal penalties.
Employer: Keep this certificate with your records. Mark an X in box A and/or box B to indicate why you are sending a copy of this form to New York State (see instructions):THIS SECTION IS FOR THE EMPLOYER TO COMPLETE
Important information The 2021-2022 New York State budget was signed Into law on April 19, 2021. Changes to New York State personal income tax have caused withholding tax changes for taxpayers with taxable income:
Accordingly, if you previously filed a Form IT-2104 and earn more than the amounts listed above, you should complete a new 2022 Form IT-2104 and give it to your employer.
Changes effective for 2022 Form IT-2104 has been revised for tax year 2022. The worksheet on page 4 and the charts beginning on page 5, used to compute withholding allowances or to enter an additional dollar amount on line(s) 3, 4, or 5, have been revised. If you previously filed a Form IT-2104 and used the worksheet or charts, you should complete a new 2022 Form IT-2104 and give it to your employer.
Who should file this form This certificate, Form IT-2104, is completed by an employee and given to the employer to instruct the employer how much New York State (and New York City and Yonkers) tax to withhold from the employee's pay. The more allowances claimed, the lower the amount of tax withheld.
If the federal Form W-4 you most recently submitted to your employer was for tax year 2019 or earlier, and you did not file Form IT-2104, your employer may use the same number of allowances you claimed on your federal Form W-4. Due to differences in federal and New York State tax law, this may result in the wrong amount of tax withheld for New York State, New York City, and Yonkers.
For tax years 2020 or later, withholding allowances are no longer reported on federal Form W-4. Therefore, if you submit a federal Form W-4 to your employer for tax year 2020 or later, and you do not file Form IT-2104, your employer may use zero as your number of allowances. This may result in the wrong amount of tax withheld for New York State, New York City, and Yonkers. Complete Form IT-2104 each year and file it with your employer if the number of allowances you may claim is different from federal Form W-4
See the instructions before completing this worksheet.
Part 1 -Complete this part to compute your withholding allowances for New York State and Yonkers (line 1)
For lines 7, 8, and 9, enter "1" for each credit you expect to claim on your state return.
For lines 10, 11, and 12, enter "3" for each credit you expect to claim on your state return.
Part 2 -Complete this part only if you expect to itemize deductions on your state return.
Standard deduction table
Part 3 -Complete this part if you expect to be a covered employee of an employer that has elected to participate in the Employer Compensation Expense Program (line 17)
Part 4 -Complete this part to compute your withholding allowances for New York City (line 2)