Fillable Nycaps New Hire Personal Data (NYC Department of Information Technology and Telecommunications)

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Nycaps New Hire Personal Data (NYC Department of Information Technology and Telecommunications)

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Country of origin: US
File type: PDF

U.S.A. forms for City of New York

BROWSE CITY OF NEW YORK FORMS

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Add a Person Page
Biographical Details
First Name Middle Name
Last Name
Suffix
Data Entered By: Date:
Page 1 of 6
First Name MI
Last Name Suffix
ID
Approved By: Date:
NYCAPS New Hire Packet - Personal Data
(To be completed by the Employee)
Employee Initials: Date:
Prefix
Name
Biographical Information
Date of Birth
Highest Education Level
Marital Status
Full-Time Student (check if applicable)
National ID
National ID (Social Security Number)
Address
Street*
(Address 1)
Apt. No.
(Address 2)
State
County
(Required)
City
Zip Code
(Postal)
Contact Information
Internal Use Only
Effective Date
Internal Use Only
Revised: 01.03.2020
Print Form
Employee Initials: Date:
Phone
Type
Preferred
(check if applicable)
Page 2 of 6
First Name MI
Last Name Suffix
NYCAPS New Hire Packet - Personal Data
(To be completed by the Employee)
Add a Person Page (cont)
Contact Information
Phone Information
Telephone Extension
Phone
Type
Preferred
(check if applicable)
Telephone Extension
Email Addresses
Email
Type
Email
Address
Regional
Military Status
Citizenship
(Proof 1)
Citizenship
(Proof 2)
Eligible to Work in U.S. (check if applicable)
Data Entered By: Date: Approved By: Date:
Drivers License
License Type
Valid toValid from
State
Driver's License #
Driver's License Page (if applicable)
History
Effective Date
Internal Use Only
ID
Internal Use Only
Revised: 01.03.2020
I certify that I have personally completed this application, and everything I have written within is, to the best of my knowledge and belief, true and
complete.
Contact Name
Relationship to Employee
Same Address as Employee?
County
(Required)
CityState
Zip Code
(Postal)
Street
(Address 1)
Same Phone as Employee?
Phone Type
Emergency Contacts Page
Other
Phone
Numbers
Contact Address/Phone
Page 3 of 6
Additional Phone
Numbers for Contact:
Primary Contact (check if applicable)
Yes No (If no, complete address fields below)
Yes
Cell Business
NYCAPS New Hire Packet - Personal Data
(To be completed by the Employee)
Last Name Suffix
MIFirst Name
Employee Initials: Date:
Data Entered By: Date: Approved By: Date:
Contact Name
Relationship to Employee
Same Address as Employee?
CityState
Zip Code
(Postal)
Same Phone as Employee?
Contact Phone
Yes No (If no, complete address fields below)
No Yes
Other
Phone
Numbers
Contact Address/Phone
Internal Use Only
ID
Street
(Address 1)
Contact PhoneNo
Apt. No.
(Address 2)
Apt. No.
(Address 2)
BusinessCell
Phone Type
Additional Phone
Numbers for Contact:
Employee Signature:
County (Required)
Internal Use Only
Revised: 01.03.2020
Job Data Page
Work Location
Effective Date Sequence
JSN
Job Indicator
Action (check applicable value below) Leave Status
Company (if different from default) PMS Position Nbr (optional)
Business Unit (Payroll Number/Agency Code)
Business Unit Entry Date
Department
(Payroll Number + Work Unit)
Department Entry DateLocation (if different from default)
Job Information
Entry DateAssignment Level
Full/Part
Override Accrual Method
(check if applicable)
Manual
Job Title
Suffix
Regular/Temporary
Empl Class (Civil Service Status)
Standard Hours (if different from default)
Work Period (if different from default)
Hours per Day
(for Pay Class I or G only)
SuffixLast Name
MIFirst Name
Empl RcdID
Description of the transaction
Page 4 of 6
NYCAPS Job Data Form
(To be completed by the Agency Representative)
Expected Return Date
SLOAC End Date
PAR Number (optional)
Days per Year
(for Pay Class I or G only)
Reason (Code)
Data Change
Demotion
Hire
Leave of Absence
Paid Leave of Absence
Pay Rate Change
Promotion
Rehire
Retirement
Retirement with Pay
Return from Leave
Return from Work Break
Short Work Break
Terminated with Pay
Termination
Transfer
Add Additional Job (Leave Line / Dual Employment) Job & Salary Change (Existing Empl Rcd)
Revised: 01.03.2020
Is this a new Job Assignment?
No Yes
Print Form
I certify that the above transaction is
supported by documentation on file.
I certify that I have reviewed the above
transaction.
I certify that the above data was entered
into NYCAPS.
Salary
Plan
Step Entry Date
Grade Entry Date Salary Administration Plan
Managerial or Step Pay Plan Employees Only
Job Data Page (cont)
Compen-
sation
Default Pay Components (check only if applicable)
Rate Code
Comp Rate
Employment
Data
Employment Data link
Civil Service Entry Date (can only be modified by NCC)
Business Title
Earnings Distribution link
Earnings
Distribution
Reporting Category 2
Reporting Category 1
Benefits Program Participation link
BN
Prgm
Waiting Period Override
%
$
First Name
SuffixLast Name
MI
Preparer Manager/Supervisor Key Entry Operator
Date Date Date
Signature SignatureSignature
NYCAPS has been configured to automate the 90 Day Waiting Period, so it is no longer necessary to enter '90D'.
Only enter 'OVR' when an employee has a step-up to a non-permanent title or they are a transfer from another
City agency with minimal or no break in service.
Page 5 of 6
Empl RcdID
NYCAPS Job Data Form
(To be completed by the Agency Representative)
Original Hire Date (City Start Date)
Position Phone
Budget
Code 1
Fund
Class 1
Unit of
Appropriation 1
Budget
Line 1
Allocation 1
%
Budget
Code 2
Fund
Class 2
Unit of
Appropriation 2
Budget
Line 2
Allocation 2
%
Allocation 1
%
Allocation 2
Payroll
Payroll Distribution CodeEmployee Type
FICA Status
Pay Group (Pay Cycle)
Processing Fee Waiver (Check applicable value below) Pay Class
□
Discretionary waived by DCAS
□ Exempt title as per PSB 100-9R
□ Fee not waived
□ Functional Transfer
□ Historical - Fee waived
□ ProvAppt ExamApplic same title
□ Public Asst Recip - NYC Resident
□ Returning Emp < 1 yr from sep
□ Seasonal appt 5.6.1 same title
□ Title change PRR 6.1.7
□ Title reclass by resolution
□ Waived under PSB 100-9R other
Step
Grade (Level)
Revised: 01.03.20
Employee Tax Data USA Page
Federal Tax
SuffixLast Name
MIFirst Name
Empl RcdID
Description of the transaction
Page
6 of 6
NYCAPS Payroll Data Form
(To be completed by the Agency Representative)
Tax Data
Type of Payroll Data Update
Additional Pay Enter Additional Pay
Correct Additional Pay
Update Additional Pay
Terminate Additional Pay
Special Tax Withholding Status
SWT Marital/Tax Status
State Tax
State
Special Tax Status
Withholding Allowances
Local
Tax
Additional Pay Page
Additional
Pay 1
Earnings Code Reason Effective Date
$
Earnings End Date
Additional
Pay 2
Earnings Code Reason Effective Date
$
Earnings End Date
Key Entry OperatorManager/SupervisorPreparer
I certify that the above transaction is
supported by documentation on file.
Signature
I certify that I have reviewed the above
transaction.
Signature
I certify that the above data was entered
into NYCAPS.
Signature
Date Date Date
Special Tax Status
Deductions
$
Married filing jointly Head of Household
$
Additional Amount
Effective Date
Marital Tax Status
$
Single/Married filing separately
Print Form
Withhold at Higher Rate
Other Income
Claim Dependents Amount (annual dollars)
FWT Extra Withholding $
$
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Nycaps New Hire Personal Data (NYC Department of Information Technology and Telecommunications)

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Completed 18 July 2020

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