Employee Enrollment Documentation



APPLICATION FOR EMPLOYMENT

Personal Information


Former Employers

Contact     Do not contact



References


Tell Us About Your Education:




Form W-4 (2021)


General Instructions

Future Developments

For the latest information about developments related to Form W-4, such as legislation enacted after it was published, go to www.irs.gov/FormW4.

Purpose of Form

Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay. If too little is withheld, you will generally owe tax when you file your tax return and may owe a penalty. If too much is withheld, you will generally be due a refund. Complete a new Form W-4 when changes to your personal or financial situation would change the entries on the form. For more information on withholding and when you must furnish a new Form W-4, see Pub. 505, Tax Withholding and Estimated Tax.

Exemption from withholding. You may claim exemption from withholding for 2021 if you meet both of the following conditions: you had no federal income tax liability in 2020 and you expect to have no federal income tax liability in 2021. You had no federal income tax liability in 2020 if (1) your total tax on line 24 on your 2020 Form 1040 or 1040-SR is zero (or less than the sum of lines 27, 28, 29, and 30), or (2) you were not required to file a return because your income was below the filing threshold for your correct filing status. If you claim exemption, you will have no income tax withheld from your paycheck and may owe taxes and penalties when you file your 2021 tax return. To claim exemption from withholding, certify that you meet both of the conditions above by writing “Exempt” on Form W-4 in the space below Step 4(c). Then, complete Steps 1(a), 1(b), and 5. Do not complete any other steps. You will need to submit a new Form W-4 by February 15, 2022.

Your privacy. If you prefer to limit information provided in Steps 2 through 4, use the online estimator, which will also increase accuracy.

As an alternative to the estimator: if you have concerns with Step 2(c), you may choose Step 2(b); if you have concerns with Step 4(a), you may enter an additional amount you want withheld per pay period in Step 4(c). If this is the only job in your household, you may instead check the box in Step 2(c), which will increase your withholding and significantly reduce your paycheck (often by thousands of dollars over the year).

When to use the estimator. Consider using the estimator at www.irs.gov/W4App if you:

  1. Expect to work only part of the year;
  2. Have dividend or capital gain income, or are subject to additional taxes, such as Additional Medicare Tax;
  3. Have self-employment income (see below); or
  4. Prefer the most accurate withholding for multiple job situations.

Self-employment. Generally, you will owe both income and self-employment taxes on any self-employment income you receive separate from the wages you receive as an employee. If you want to pay these taxes through withholding from your wages, use the estimator at www.irs.gov/W4App to figure the amount to have withheld.

Nonresident alien. If you’re a nonresident alien, see Notice 1392, Supplemental Form W-4 Instructions for Nonresident Aliens, before completing this form.

Specific Instructions

Step 1(c). Check your anticipated filing status. This will determine the standard deduction and tax rates used to compute your withholding.

Step 2. Use this step if you (1) have more than one job at the same time, or (2) are married filing jointly and you and your spouse both work.

Option (a) most accurately calculates the additional tax you need to have withheld, while option (b) does so with a little less accuracy.

If you (and your spouse) have a total of only two jobs, you may instead check the box in option (c). The box must also be checked on the Form W-4 for the other job. If the box is checked, the standard deduction and tax brackets will be cut in half for each job to calculate withholding. This option is roughly accurate for jobs with similar pay; otherwise, more tax than necessary may be withheld, and this extra amount will be larger the greater the difference in pay is between the two jobs.

Multiple jobs. Complete Steps 3 through 4(b) on only one Form W-4. Withholding will be most accurate if you do this on the Form W-4 for the highest paying job.

Step 3. This step provides instructions for determining the amount of the child tax credit and the credit for other dependents that you may be able to claim when you file your tax return. To qualify for the child tax credit, the child must be under age 17 as of December 31, must be your dependent who generally lives with you for more than half the year, and must have the required social security number. You may be able to claim a credit for other dependents for whom a child tax credit can’t be claimed, such as an older child or a qualifying relative. For additional eligibility requirements for these credits, see Pub. 972, Child Tax Credit and Credit for Other Dependents. You can also include other tax credits in this step, such as education tax credits and the foreign tax credit. To do so, add an estimate of the amount for the year to your credits for dependents and enter the total amount in Step 3. Including these credits will increase your paycheck and reduce the amount of any refund you may receive when you file your tax return.

Step 4 (optional).

  • Step 4(a). Enter in this step the total of your other estimated income for the year, if any. You shouldn’t include income from any jobs or self-employment. If you complete
  • Step 4(a), you likely won’t have to make estimated tax payments for that income. If you prefer to pay estimated tax rather than having tax on other income withheld from your paycheck, see Form 1040-ES, Estimated Tax for Individuals.
  • Step 4(b). Enter in this step the amount from the Deductions Worksheet, line 5, if you expect to claim deductions other than the basic standard deduction on your 2021 tax return and want to reduce your withholding to account for these deductions. This includes both itemized deductions and other deductions such as for student loan interest and IRAs.
  • Step 4(c). Enter in this step any additional tax you want withheld from your pay each pay period, including any amounts from the Multiple Jobs Worksheet, line 4. Entering an amount here will reduce your paycheck and will either increase your refund or reduce any amount of tax that you owe.


Form

W-4

Department of the Treasury Internal Revenue Service

Employee's Withholding Allowance Certificate

▶ 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.

OMB No. 1545-0074

2021


Step 1: Enter Personal Information

(c)     

Single or Married filing separately
Married filing jointly or Qualifying widow(er)
Head of household (Check only if you’re unmarried and pay more than half the costs of keeping up a home for yourself and a qualifying individual.)

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. See page 2 for more information on each step, who can claim exemption from withholding, when to use the estimator at www.irs.gov/W4App, and privacy.


Step 2: Multiple Jobs or Spouse Works

Complete this step if you (1) hold more than one job at a time, or (2) are married filing jointly and your spouse also works. The correct amount of withholding depends on income earned from all of these jobs.

Do only one of the following.

(a) Use the estimator at www.irs.gov/W4App for most accurate withholding for this step (and Steps 3–4); or

(b) Use the Multiple Jobs Worksheet on page 3 and enter the result in Step 4(c) below for roughly accurate withholding; or

(c) If there are only two jobs total, you may check this box. Do the same on Form W-4 for the other job. This option is accurate for jobs with similar pay; otherwise, more tax than necessary may be withheld

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.)

Step 3: Claim Dependents

If your total income will be $200,000 or less ($400,000 or less if married filing jointly):

Multiply the number of qualifying children under age 17 by $2,000 $

Multiply the number of other dependents by $500 $

Add the amounts above and enter the total here

3

$

 

Step 4 (optional): Other Adjustments

(a) Other income (not from jobs). If you want tax withheld for other income you expect this year that won’t have withholding, enter the amount of other income here. This may include interest, dividends, and retirement income.

4(a)

$

(b) Deductions. If you expect to claim deductions other than the standard deduction and want to reduce your withholding, use the Deductions Worksheet on page 3 and enter the result here

4(b)

$

(c) Extra withholding. Enter any additional tax you want withheld each pay period

4(c)

$

 

Step 5: Sign Here

Under penalties of perjury, I declare that this certificate, to the best of my knowledge and belief, is true, correct, and complete.


Step 2(b)—Multiple Jobs Worksheet (Keep for your records.)

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

$

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

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

2b

$

c Add the amounts from lines 2a and 2b and enter the result on line 2c

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.

2

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) .

4

$

 

Step 4(b)—Deductions Worksheet (Keep for your records.)

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.

1

$

2) Enter:

  • $25,100 if you’re married filing jointly or qualifying widow(er)
  • $18,800 if you’re head of household
  • $12,550 if you’re single or married filing separately.

2

$

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-”

3

$

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

4

$

5) Add lines 3 and 4. Enter the result here and in Step 4(b) of Form W-4

5

$

 

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(f)(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 properly 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 OMB 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.

 


Married Filing Jointly or Qualifying Widow(er)

Higher Paying Job Annual Taxable Wage & Salary

Lower Paying Job Annual Taxable Wage & Salary

$0 - 9,999

$10,000 - 19,999

$20,000 - 29,999

$30,000 - 39,999

$40,000 - 49,999

$50,000 - 59,999

$60,000 - 69,999

$70,000 - 79,999

$80,000 - 89,999

$90,000 - 99,999

$100,000 - 109,999

$110,000 - 120,000

$0 - 9,999
$10,000 - 19,999
$20,000 - 29,999

$0
190
850

$190
1,190
1,890

$850
1,890
2,750

$890
2,090
2,950

$1,020
2,220
3,080

$1,020
2,220
3,080

$1,020
2,220
3,080

$1,020
2,220
3,160

$1,020
2,300
4,160

$1,100
3,300
5,160

$1,870
4,070
5,930

$1,870
4,070
5,930

$30,000 - 39,999
$40,000 - 49,999
$50,000 - 59,999

890
1,020
1,020

2,090
2,220
2,220

2,950
3,080
3,080

3,150
3,280
3,280

3,280
3,410
3,490

3,280
3,490
4,490

3,360
4,490
5,490

4,360
5,490
6,490

5,360
6,490
7,490

6,360
7,490
8,490

7,130
8,260
9,260

7,130
8,260
9,260

$60,000 - 69,999
$70,000 - 79,999
$80,000 - 99,999

1,020
1,020
1,020

2,220
2,220
3,150

3,080
3,160
5,010

3,360
4,360
6,210

4,490
5,490
7,340

5,490
6,490
8,340

6,490
7,490
9,340

7,490
8,490
10,340

8,490
9,490
11,340

9,490
10,490
12,340

10,260
11,260
13,260

10,260
11,260
13,460

$100,000 - 149,999
$150,000 - 239,999
$240,000 - 259,999

1,870
2,040
2,040

4,070
4,440
4,440

5,930
6,500
6,500

7,130
7,900
7,900

8,260
9,230
9,230

9,320
10,430
10,430

10,520
11,630
11,630

11,720
12,830
12,830

12,920
14,030
14,030

14,120
15,230
15,270

15,090
16,190
17,040

15,290
16,400
18,040

$260,000 - 279,999
$280,000 - 299,999
$300,000 - 319,999

2,040
2,040
2,040

4,440
4,440
4,440

6,500
6,500
6,500

7,900
7,900
7,940

9,230
9,230
10,070

10,430
10,470
12,070

11,630
12,470
14,070

12,870
14,470
16,070

14,870
16,470
18,070

16,870
18,470
20,070

18,640
20,240
21,840

19,640
21,240
22,840

$320,000 - 364,999
$365,000 - 524,999
$525,000 and over

2,720
2,970
3,140

5,920
6,470
6,840

8,780
9,630
10,200

10,980
12,130
12,900

13,110
14,560
15,530

15,110
16,860
18,030

17,110
19,160
20,530

19,110
21,460
23,030

21,190
23,760
25,530

23,490
26,060
28,030

25,560
28,130
30,300

26,860
29,430
31,800



Single or Married Filing Separately

Lower Paying Job Annual Taxable Wage & Salary

Higher Paying Job Annual Taxable Wage & Salary

$0 - 9,999

$10,000 - 19,999

$20,000 - 29,999

$30,000 - 39,999

$40,000 - 49,999

$50,000 - 59,999

$60,000 - 69,999

$70,000 - 79,999

$80,000 - 89,999

$90,000 - 99,999

$100,000 - 109,999

$110,000 - 120,000

$0 - 9,999
$10,000 - 19,999
$20,000 - 29,999

$440
940
1,020

$940
1,540
1,620

$1,020
1,620
2,100

$1,020
2,020
3,100

$1,410
3,020
4,100

$1,870
3,470
4,550

$1,870
3,470
4,550

$1,870
3,470
4,720

$1,870
3,640
4,920

$2,030
3,840
5,120

$2,040
3,840
5,120

$2,040
3,840
5,120

$30,000 - 39,999
$40,000 - 59,999
$60,000 - 79,999

1,020
1,870
1,870

2,020
3,470
3,470

3,100
4,550
4,690

4,100
5,550
5,890

5,100
6,690
7,090

5,550
7,340
7,740

5,720
7,540
7,940

5,920
7,740
8,140

6,120
7,940
8,340

6,320
8,140
8,540

6,320
8,150
9,190

6,320
8,150
9,990

$80,000 - 99,999
$100,000 - 124,999
$125,000 - 149,999

2,000
2,040
2,040

3,810
3,840
3,840

5,090
5,120
5,120

6,290
6,320
6,910

7,490
7,520
8,910

8,140
8,360
10,360

8,340
9,360
11,360

8,540
10,360
12,450

9,390
11,360
13,750

10,390
12,360
15,050

11,190
13,410
16,160

11,990
14,510
17,260

$150,000 - 174,999
$175,000 - 199,999
$200,000 - 249,999

2,220
2,720
2,970

4,830
5,320
5,880

6,910
7,490
8,260

8,910
9,790
10,560

10,910
12,090
12,860

12,600
13,850
14,620

13,900
15,150
15,920

15,200
16,450
17,220

16,500
17,750
18,520

17,800
19,050
19,820

18,910
20,150
20,930

20,010
21,250
22,030

$250,000 - 399,999
$400,000 - 449,999
$450,000 and over

2,970
2,970
3,140

5,880
5,880
6,250

8,260
8,260
8,830

10,560
10,560
11,330

12,860
12,860
13,830

14,620
14,620
15,790

15,920
15,920
17,290

17,220
17,220
18,790

18,520
18,520
20,290

19,820
19,910
21,790

20,930
21,220
23,100

22,030
22,520
24,400



Head of Household

Lower Paying Job Annual Taxable Wage & Salary

Higher Paying Job Annual Taxable Wage & Salary

$0 - 9,999

$10,000 - 19,999

$20,000 - 29,999

$30,000 - 39,999

$40,000 - 49,999

$50,000 - 59,999

$60,000 - 69,999

$70,000 - 79,999

$80,000 - 89,999

$90,000 - 99,999

$100,000 - 109,999

$110,000 - 120,000

$0 - 9,999
$10,000 - 19,999
$20,000 - 29,999

$0
820
930

$820
1,900
2,130

$930
2,130
2,360

$1,020
2,220
2,450

$1,020
2,220
2,850

$1,020
2,620
3,850

$1,420
3,620
4,850

$1,870
4,070
5,340

$1,870
4,110
5,540

$1,910
4,310
5,740

$2,040
4,440
5,870

$2,040
4,440
5,870

$30,000 - 39,999
$40,000 - 59,999
$60,000 - 79,999

1,020
1,020
1,870

2,220
2,470
4,070

2,450
3,700
5,310

2,940
4,790
6,600

3,940
5,800
7,800

4,940
7,000
9,000

5,980
8,200
10,200

6,630
8,850
10,850

6,830
9,050
11,050

7,030
9,250
11,250

7,160
9,380
11,520

7,160
9,380
12,320

$80,000 - 99,999
$100,000 - 124,999
$125,000 - 149,999

1,880
2,040
2,040

4,280
4,440
4,440

5,710
5,870
5,870

7,000
7,160
7,240

8,200
8,360
9,240

9,400
9,560
11,240

10,600
11,240
13,240

11,250
12,690
14,690

11,590
13,690
15,890

12,590
14,690
17,190

13,520
15,670
18,420

14,320
16,770
19,520

$150,000 - 174,999
$175,000 - 199,999
$200,000 - 249,999

2,040
2,720
2,970

4,920
5,920
6,470

7,150
8,150
9,000

9,240
10,440
11,390

11,240
12,740
13,690

13,290
15,040
15,990

15,590
17,340
18,290

17,340
19,090
20,040

18,640
20,390
21,340

19,940
21,690
22,640

21,170
22,920
23,880

22,270
24,020
24,980

$250,000 - 349,999
$350,000 - 449,999
$450,000 and over

2,970
2,970
3,140

6,470
6,470
6,840

9,000
9,000
9,570

11,390
11,390
12,160

13,690
13,690
14,660

15,990
15,990
17,160

18,290
18,290
19,660

20,040
20,040
21,610

21,340
21,340
23,110

22,640
22,640
24,610

23,880
23,900
26,050

24,980
25,200
27,350

Employment Eligibility Verification
Department of Homeland Security
U.S. Citizenship and Immigration Services

USCIS
Form I-9
OMB No. 1615-0047
Expires 08/31/2019


START HERE: Read instructions carefully before completing this form. The instructions must be available, either in paper or electronically, during completion of this form. Employers are liable for errors in the completion of this form.

ANTI-DISCRIMINATION NOTICE: It is illegal to discriminate against work-authorized individuals. Employers CANNOT specify which document(s) an employee may present to establish employment authorization and identity. The refusal to hire or continue to employ an individual because the documentation presented has a future expiration date may also constitute illegal discrimination.


Section 1. Employee Information and Attestation
(Employees must complete and sign Section 1 of Form I-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):



Prepare and/or Translator Certification (check one):

(Field below must be completed and signed when preparers and/or translators assist an employee in completing Section 1.)


BACKGROUND CHECK CONSENT FORM


Important Note: The information requested on this form is for the sole purpose of undertaking an employment investigation and may be used for a pre-employment investigation, or from time to time during employment.


CANDIDATE INFORMATION




Male    Female   
Detailer
Porter
Detail Manager
Service Washer
Lot Washer
Transport
Admin
Have you ever been arrested or convicted of crime?
Yes    No

If yes, please list offense and the location (county and state) and the date(s) where offense(s) occurred:

If more space is needed, please use additional pages.


List the county and state of your previous places of residence and / or employment (whichever is applicable) during the past seven years.

If more space is needed, please use additional pages.

AUTHORIZATION RELEASE


Fair Credit Reporting Act: I hereby understand that a consumer report may be ordered for employment screening purposes, and that I am hereby giving my permission for such a report to be procured. I understand that I am entitled to see a copy of this report and a copy of “summary of consumer rights” before any adverse action is taken by the below mentioned employer. The information from this report will not be used in violation of any applicable state or federal equal opportunity law or regulation.

In connection with my application for employment or promotion, reassignment, or retention of current employment, I understand that (“Employer”) may conduct a background investigation and compile a consumer report or investigative consumer report in me. This report may include information as to my character, reputation, mode of living, criminal history, military service, education, academic credentials, qualification, employment history (including job performance, experience, work habits and reason for termination), personal characteristics, credit indebtedness, and motor vehicle driving record. This report may contain information from various public and private sources, including without limitation, corporations, courts and law enforcement agencies at the federal, state or local levels, courts record repositories, credit bureaus, departments of motor vehicles, past or present employers, educational institutions, governmental licensing or registration entities, the military business or personal references, and other sources required to verify information that I have voluntary supplied. I understand that I have the right to request additional disclosures as to the nature and scope of the investigative consumer report if processed. Medical and worker’s compensation information will only be requested in compliance with the Federal Americans with Disabilities Act (ADA) and/or any other applicable state laws.

I hereby authorize the company and its agent to verify the information submitted by me and to obtain any credit information, criminal history. Or driving records. Neither the company nor its agent shall be violating my right to privacy in any manner and I release them from all liability whatsoever for actions related to this investigation.

   For California applicants only, if you would like to receive a copy of your report, if one is obtained, please check this area.
   For Minnesota or Oklahoma applicants only, if you would like to receive copy of the consumer report, if one is obtained, please check this area.


WAIVER OF COVERAGE


If you are declining enrollment for yourself or your dependents (including your spouse) because of other health insurance coverage, you may in the future be able to enroll yourself or your dependents in this plan, provided that you request enrollment within 31 days after your other coverage ends. In addition, if you have a new dependent as a result of marriage, birth, adoption, or placement for adoption, you may be able to enroll yourself and your dependents, provided that you request enrollment within 31 days after the marriage, birth, adoption, or placement for adoption.

This is to acknowledge that my employer explained the benefit plans available to me. I was given the opportunity to apply for the available benefit plans and have elected not to enroll.

Reason for declining coverage:


Single         Family        




  Single         Family        


*Please include a copy of your insurance card.



Notice to Employees of Ocean Detailing, LLC.


Due to changes in the Healthcare Marketplace Effective January 1st 2015, Ocean Detailing will be providing Employer Sponsored Group Medical Coverage with an Insurance Carrier of their choice in compliance with the Federal Health Care Reform Employer Requirement.

As Ocean Detailing will be offering a Group Medical Plan that is in compliance with the Affordable Care Act, Full Time Employees working 29 hours or more will no longer be eligible to obtain an Individual Government Tax Subsidy through the Federal Marketplace after January 1, 2015.

Please be advised, you are not obligated to sign up for the Group Medical Plan, but if you neglect to re-enroll in the Group Medical Policy, the Federal Individual Mandate will apply. You will be responsible to pay a tax penalty at the end of the year for not having Health Insurance Coverage.

Furthermore, if you are currently enrolled in an Individual Medical Plan and are receiving a Government Tax Subsidy, you will also be subject to a Penalty while Ocean Detailing is offering Compliant Group Medical Coverage.

By signing below, I acknowledge that I am waiving Group Medical Coverage as offered by Ocean Detailing in accordance with the Affordable Care Act and will obtain coverage on my own regard and expense.



Thank you for your cooperation during this transition. We appreciate your time and service.

Employee Authorizations & Acknowledgements


Non-Exclusive Acknowledgement and Consent: I acknowledge that this document is not exclusive and does not contain all of my Employer's workplace policies and procedures, which may be contained in a separate employee handbook to be provided by my Employer.

Employer Certification

I hereby certify that all information contained in this employee packet or in any other application, résumé or document provided to my Employer or CoAdvantage is true, accurate and complete, and is provided knowingly and voluntarily.

I understand that providing any false, inaccurate or incomplete information may result in disciplinary action, up to and including termination or my employment.




ACKNOWLEDGEMENT AND AGREEMENT


This is to acknowledge that I have received a copy of OCEAN DETAILING USA MANAGEMENT, INC. (the "Company')Employee Handbook and understand that it sets forth the terms and conditions of my employment as well as the duties, responsibilities, and obligations of employment with the Company. I understand and agree that it is my responsibility to read the Employee Handbook and to abide by the rules, policies and standards set forth in the Employee Handbook.

I also acknowledge that my employment with the company is not for a specified period of time and can be terminated at any time for any reason, with or without cause or notice, by me or by the Company. I acknowledge that no oral or written statements or representations regarding my employment can alter the foregoing. I also acknowledge that no Manager or Employee has the authority to enter into an employment agreement—express or implied—providing for employment other that at will.

I also acknowledge that, except for the policy of at-will employment, the Company reserves the right to revise, delete and add to the provisions of this Employee Handbook. All such revisions, deletions, or additions must be in writing and must be signed by the President of the Company. No oral statements or representations can change the provisions of this Employee Handbook. I also acknowledge that, except for the policy of at-will employment, terms and conditions of employment with the company may be modified at the sole discretion of the company with or without cause or notice at any time. No implied contract concerning any employment-related decision, term of employment, or condition of employment can be established by any other statement, conduct, policy or practice.

I understand that the foregoing agreement concerning my at-will employment status and the Company's right to determine and modify the terms and conditions of employment is the sole and entire agreement between me and the Company concerning the duration of my employment, and the circumstances under which the terms and conditions of my employment may change. I further understand that this agreement supersedes all previous agreements, understandings, and representations concerning my employment with The Company.

I understand that The Company and I will arbitrate all disputes arising out of my employment, and termination of my employment before a neutral arbitrator, and that this arbitration will be binding on the Company and me.




TO BE PLACED IN EMPLOYEE'S PERSONNEL FILE

EMPLOYEE ARBITRATION AGREEMENT


As a condition of employment at OCEAN DETAILING USA MANAGEMENT, INC., (the "Company") The Employee agrees to arbitrate before a neutral arbitrator any and all disputes or claims, which would otherwise be subject to resolution in court, arising from or relating to Employee’s recruitment to, employment with, or termination from the Company, Including claims against any current or former agent or employee of the Company, whether the disputes or claims arises in tort; contract, or pursuant to a statute, regulation or ordinance now in existence or which may In the future be enacted or recognized. All arbitration proceedings shall be conducted pursuant the rules of the American Arbitration Association and be held in Miami, Florida.





Please read the Distracted Driving Policy, sign and return to your supervisor.

In order to increase employee safety and eliminate unnecessary risks behind the wheel, Ocean Detailing USA has enacted a Distracted Driving Policy, effective Sept 1, 2014. We are committed to ending the epidemic of distracted driving, and have created the following rules, which apply to any employee operating a company vehicle or using a company-issued cell phone while operating a personal vehicle:

  • Company employees may not use a hand-held cell phone while operating a vehicle – whether the vehicle is in motion or stopped at a traffic light. This includes, but is not limited to, answering or making phone calls, engaging in phone conversations, and reading or responding to emails, instant messages, and text messages.
  • If company employees need to use their phones, they must pull over safely to the side of the road or another safe location.
  • Additionally, company employees are required to:
    • Turn cell phones off or put them on silent or vibrate before starting the car.
    • Consider modifying voice mail greetings to indicate that you are unavailable to answer calls or return messages while driving.
    • Inform clients, associates and business partners of this policy as an explanation of why calls may not be returned immediately.
  • Consequences for failing to follow this policy will be termination.

I acknowledge that I have received a written copy of the Distracted Driving Policy, that I fully understand the terms of this policy, that I agree to abide by these terms, and that I am willing to accept the consequences of failing to follow the policy.