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Employee Information Update Form

YOUR PERSONAL INFORMATION
Please complete this form to update your personal and other HR information in our records. Double check for correct dates and spelling of names and other information you provide.   
This question requires a valid number format.
This question requires a valid date format of MM/DD/YYYY.
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4. Please list all the JJS branches and year/s in which you have worked, starting from the year you were hired until the present:  
      ex:    Homesite        1990-1993 
                  City Heights  1994-2015
                  Homesite        2016-2017    
Space Cell JJS BranchYear/s
1
2
3
4
This question requires a valid number format.
This question requires a valid email address.
YOUR EMERGENCY CONTACT INFORMATION
In case of emergency, please provide us with the most updated information on who to contact and where we can reach them. 
12. In case of emergency, which two individuals can we contact, and how can we reach them?
Space Cell First NameMiddle NameLast NamePhone No.Address
1:
2:
OTHER HR INFORMATION
This information is pertinent to the accuracy of our existing HR and Payroll records which may affect your existing and future benefits.
13. Please list the full name, age and grade level of your dependents currently attending JJS/Castleson, Inc.  If none, leave blank:
Space Cell Full NameAgeGrade Level
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14. If you are related to another current employee at JJS/Castleson Inc., please list their name, job title and branch.  If none,  leave blank:
Space Cell NameJob TitleBranch
Employee/Relative 1
Employee/Relative 2
Employee/Relative 3
RETIREMENT PLANNING
It is our policy that you must inform our Administration Office of the date and age you plan to retire at least three (3) years before reaching it, otherwise, your retirement plan will be automatically based on the standard age of sixty (60) years old.  It is in every employee's best interest to complete this section as accurately as possible.  All questions below affect the computation of your retirement benefits. You are welcome to update your information as often as necessary.
This question requires a valid date format of MM/DD/YYYY.
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16. If you left JJS/Castleson, Inc. at any point in the past and was rehired, please provide the dates you were employed with us until the present: 

ex:   1985 - 2000       (employed at JJS)
         2004 - present  (employed at JJS)
Space Cell Years Employed @ JJS
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2
3
This question requires a valid number format.
This question requires a valid date format of MM/DD/YYYY.