HR December 2016
City of Surrey
Personal Information Onboarding Form
Employee Information
Legal Last Name:
Legal First Name and Middle Initial:
Preferred Name (if different from Legal name):
Gender:
Male: Female:
Street Address:
City:
Province:
Postal Code:
Birthday (mm/dd/yyyy):
Social Insurance Number:
Marital Status:
Common-Law Married Single
Telephone Numbers:
Home:
Cell:
Other:
Email Address:
Municipal Pension Plan Are you a current contributor
or have you previously been a contributor?
Yes: No:
Emergency Contact Information
Last Name:
Relationship:
Telephone Numbers:
Home:
Cell:
Other:
Instructions:
1. Complete each box on the form.
2. Information provided on this form is stored and used for HR purposes linked to payroll and benefit
administration. Gender and birthdate information may be used in an aggregate format for workforce
demographics.
3. It is important that you accurately confirm previous or current Municipal Pension Plan (MPP) membership.
4. Please remember to update your Emergency Contact Information if it changes during your employment with
the City of Surrey.
5. This form (once completed) should be uploaded using our secure system. OR: If you prefer not to upload
this document, it can be faxed (604-591-4517), mailed or physically returned to City of Surrey HR, 13450-
104
th
Ave., Surrey BC V3T 1V8. The City of Surrey recommends that you do not email the required
personal information using unsecured systems.