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TRION Form
RS Consulting
2023-03-10T01:23:46-05:00
TRION - 2022
Step
1
of
2
50%
Employee Information
Name
First
Middle
Last
Social Security Number:
Email Address:
Address:
Address
City
State
Zip
Apt. No.
Home Phone Number:
Cell Phone Number:
Emergency Contact:
First
Last
Relationship
i.e. Spouse,Parent,Child
Daytime Phone Number:
Evening Phone Number:
Co-Employemnt.
Your Worksite Employer and Trion Solutions, Inc. or one of its affiliates (“Trion”) have entered d into a Professional Employer Services Agreement (the Agreement”) that create s a co‐employment relationship bet tween your Works site Employer, Trio on and you by assigning certain hum man resource related functions to Trion. “Agreement This is a an ongoing relationship rather than temporary or project‐specific one, wherein the r rights, duties and d obligations of the employment relationship have been allocate d between Trion a and your Worksite Employer. Your Worksite Employer retains direction and control over your duties as is s necessary to conduct its business and comply with licensing and regulatory laws. .Trion, as the administrative co‐employer, assumes responsibility for r the payment of your wages, payroll taxes and benefits provided by the Worksite Employer, and re serves the right, a along with your Woorksite Employer, to hire, terminate e, discipline and enforce employment and safety policies. The Worksite Employer is s solely responsible for compliance with all federal, state and local law regarding employment, including but not limited to, discrimination and hour laws and regulations.
Arbitration and Limitatio on Period.
I agree that any dispute regarding my employment with the Worksite Employer, Trion and their shareholders,directors, officerrs or employees will be submitted and resolved by binding arbitration before the American Arbitraation Association (“AAA”) in accord dance with its Employment Arbitration Rules and Mediation Procedures. The arbitrator may award attorney’s fees to the prevailing pa arty and all costs a and expenses of the arbitration shall be allocated among the part ties according to t he arbitrator’s disscretion. The parties shall be entitled to discovery in n accordance with the Federal Rules s of Civil Procedure and the arbitrattor’s award may be entered as a final judgment in any court havinng jurisdiction and enforced in accorrdance with the arbitration award.Any claims for workers’ compensation,employment benefits, welfare and pens ion benefits or claims under Section 7 of the National Labor Relations s Act are excluded d from this provision. I agree not to file any claim with the Worksite Employer or Trion more than 182 calendar days after the event,practice or action complained of, and or suit relating to my employment agree to waive any state or federal statutes s of limitation to the contrary.
South Carolina Employees:
Trion is a regulated PEO pursuant to the State’s statutes and regulations. If you have e any questions or complaints regarding this relationship you may contact:
Carolina a Department of Consumer Affairs, 2221 Devine Street, Suite 200, Columbia, South Carolina, 29205. (803) 734‐4200.
www.consumer.sc.gov
.
Signature
Date
MM slash DD slash YYYY
ELECTRONIC PAY AUTHORIZATION FORM
EMPLOYEE INFORMATION SECTION ( * These are required fields to enroll in direct deposit)
Employee Name:
*
Hidden
Client Name:
Social Security Number
*
Date of Birth:
*
MM slash DD slash YYYY
Primary Phone Number (with area code)
*
Address:
Address
City
State
Zip Code
E-Mail Address:
Post Tags
Add my bank account(s)
Employees may choose to deposit amounts in up to four different accounts below.
Change my bank account(s)
Please allow 2 pay periods for processing changes.
Cancel all account(s)
This will cancel all electronic deposits and a paper check will be issued. Allow 48 hours for cancellations
Check One
add account
change
cancel
Nine Digit Routing Number
Account Number
Check
Checking
Savings
Example: $100.00 or 100%
Amount
Percentage
Amount in $
% Amount
Check One
add account
change
cancel
Nine Digit Routing Number
Account Number
Check
Checking
Savings
Example: $100.00 or 100%
Amount
Percentage
Amount in $
% Amount
Check One
add account
change
cancel
Nine Digit Routing Number
Account Number
Check
Checking
Savings
Example: $100.00 or 100%
Amount
Percentage
Amount in $
% Amount
Check One
add account
change
cancel
Nine Digit Routing Number
Account Number
Check
Checking
Savings
Example: $100.00 or 100%
Amount
Percentage
Amount in $
% Amount
Visa Pay-Card-When traveling out of state contact card company to alert them otherwise your card will not work.
Hidden
Nine Digit Routing Number
Hidden
Account Number
Hidden
Check
Checking
Hidden
Example: $100.00 or 100%
Amount
Percentage
Hidden
Amount in $
Hidden
% Amount
By signing below, I authorize Trion Solutions, Inc. and the financial institution(s) listed belo w to deposit my paycheck automatically and when necessary, to facilitate debit entries for funds erroneously deposited.
I also understand that my request(s) related to direct deposit may take two to three pay periods to activate.
This authorization supersedes any previous payroll deduction distribution form and will remain in effect until I can cancel in writing. I understand that all direct deposits are made through the Automated Clearing House (ACH), that the funds’ availability is subject to the term and limitations of the ACH as well as my financial institution, and that the ACH process can take 48 hours to complete, excluding weekends and holidays. If electing the Pay-card option, a Welcome Kit will be mailed to me detailing all of the benefits, terms and conditions. There is no approval or application process. I am automatically eligible and there is no monthly fee, as long as I am co-employed through Trion Solutions Inc.
Signature
Date
MM slash DD slash YYYY
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