EMPLOYEE’S SIGNATURE. DATE: M0019B2 Copy — White (FSA Provider) Yellow (Employee) Pink (Employer) Gold (Associate) 12/13
EMPLOYEE’S SIGNATURE. The employee shall sign each evaluation form after review of its contents. Such signing does not indicate concurrence with the evaluation, but only indicates the employee has received and read the evaluation.
EMPLOYEE’S SIGNATURE. The foregoing deductions shall be made from the second pay of each month and the amounts deducted by the Board, together with a list of the employees for whom deductions have been made, as soon as possible, but in no event later than ten (10) days thereafter.
EMPLOYEE’S SIGNATURE. DATE: I understand and agree to the following:
EMPLOYEE’S SIGNATURE. Whenever an employee is ordered to place his signature upon any document or report for disciplinary action, it is understood that said employee is merely acknowledging receipt of said document and does not indicate whether or not the employee agrees or disagrees with the document, report or disciplinary action.
EMPLOYEE’S SIGNATURE. Xxxxxxx’x Signature:................................................
EMPLOYEE’S SIGNATURE. I, the undersigned, authorized and irrevocably direct Innophos, Inc. to deduct from my wages each and every month dues and initiation fees which may be charged against me by Local 743 which is required to maintain me as a member in good standing in said Union, in accordance with the By-Laws of the Union and in compliance with the Labor-Management Relations Act of 1947. The amount deducted each month shall be forwarded to Local 743. The authorization and direction shall be irrevocable for the period of one (1) year, or until the termination of the collective agreement between the Company and Local 743, whichever occurs sooner; and I agree and direct that this authorization and direction shall be automatically renewed, and shall be irrevocable for successive periods of one (1) year each or for the period of each succeeding applicable collective agreement between the Company and Local 743, whichever shall be shorter, unless written notice is given by me to the Company not more than twenty (20) days and not less than ten (10) days prior to the expiration of each period of one (1) year, or of each applicable collective agreement between the Company and Local 743, whichever occurs sooner. EMPLOYEE’S SIGNATURE: Male Female Address: Zip Code: City: Starting Date: Home Phone: Date of Birth: Dept.: Clock No. Beneficiary: Relationship: Soc. Sec. No.: Date: • Amend paragraph 132, page 30 to read: The bargaining unit employees of the Waterway plant will be eligible to participate in the same Defined Contribution retirement plan that is provided to the salaried employees. • Delete the last sentence of paragraph 33, page 8, regarding payment for missed overtime hours. Paragraph to read: If an employee has been overlooked for an overtime assignment, the individual will be given the opportunity to work the equivalent hours when it is mutually convenient for the Company and the employee. The overtime opportunity must be completed within 30 days or the hours will be forfeited. If the overtime missed is four (4) or more hours, it is to be made up in not less than four (4) hour blocks. • Amend paragraph 64, page 15 to read:
EMPLOYEE’S SIGNATURE. (Employee ID No.) (Date)
EMPLOYEE’S SIGNATURE. The employee's signature indicates only that the employee has seen the written statement and does not necessarily indicate agreement with the contents of the statement(s). No employee shall be required to sign a blank or incomplete form.
EMPLOYEE’S SIGNATURE. (If the employee declines to sign, note accordingly) Copies: Employee Union Delegate (where applicable) Supervisor Personnel Records PRO FORMA DOCUMENT (b)
