Independent or Third-Party External

Entry Form
Please print clearly in block letters using blue or black ink. All independent contractors providing services (Independent
Externals) to any of Deloitte & Touche USA LLP and its subsidiaries (the Deloitte US Entities) and all employees or contractors of
contracting agencies sent by such agencies to any of the Deloitte US Entities to render services (Third-Party Externals) must
complete all applicable items on this form fully and accurately when such services commence, except those items inside bold borders
or labeled OFFICE USE ONLY.
Disclaimer: The terminology used to name or describe data fields on this form is universal within SAP and is used for data entry
purposes only. Neither this form nor the terminology herein shall be deemed to create any partnership, joint venture, agency,
employment, or similar relationship between any Deloitte US Entity and the Independent External/Third-Party External.
OFFICE USE ONLY

External Entry (C1)

External Reentry
Employee to New External (C1)
External to External Reentry (C2)
Employee to External Reentry (C3)

Object (IT 0000)

Object Abbreviation (uppercase only, up to 4)

Object Description (upper/lowercase, up to 40)

Relationship (Positions) (IT 0001)

Related Object ID (8)

Related Object Description (up to 40)

(C) Job

(O) Org. Unit

(K) Cost Center

Include designation such as ATR, DTOA, TAXT, SVCS, or USA

with any cost center description.

Create Event (IT 0000)

Personnel Number (6)

Event Date (mm/dd/yyyy)

Position Number (8)

Position Description

Personnel Area (4)

External

Group (1)

Subgroup Code

9 Active External

Submitting Office

ZDIndependent External

ZLThird-Party External

Personal Data (IT 0002)

Last Name
(as shown on Social Security card)

First Name
(as shown on Social Security card)

Middle Name
(as shown on Social Security card)

Second Title
(e.g., Jr., II, III)

Nickname

Social Security No. (9)

Note: SSN is:

* Required for ZD (independent external)
* Optional for ZL (third-party external)

Organizational Assignment (IT 0001)

Non-Pay (ZC)

Contract

Mail Code (3)

Mail Code Description

04 Contractor

February 3, 2005

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Important:

Complete emergency contact information for ZD (independent external) only.

Do not complete emergency contact information for ZL (third-party external).

Emergency Contact Information (IT 0006)

Please provide the name of an individual who can be contacted in case of a medical emergency.
Relationship Subtype (4)

Relationship Description (OPTIONAL)

Name (Last, First) (40)

Address Line 1 (30)

(foreign addresses allowed)

Address Line 1, continued (30)

City (25)

County (25)

State (2)

Zip Code (5-4)

Email Address (100)

Telephone Number (3-3-4)

Extension (5)

Country Key (2)

Country Name

Cell Phone (3-3-4)

Pager (3-3-4)

Important:

Complete emergency contact information for ZD (independent external) only.

Do not complete emergency contact information for ZL (third-party external).

Emergency Contact Information (IT 0006)

Please provide the name of an individual who can be contacted in case of a medical emergency.
Relationship Subtype (4)

Relationship Description (OPTIONAL)

Name (Last, First) (40)

Address Line 1 (30)

(foreign addresses allowed)

Address Line 1, continued (30)

City (25)

County (25)

State (2)

Zip Code (5-4)

Email Address (100)

Telephone Number (3-3-4)

Extension (5)

Country Key (2)

Country Name

Cell Phone (3-3-4)

Pager (3-3-4)

Monitoring of Tasks (IT 0019)

Date (mm/dd/yyyy)

30 Ext Proposed end date

12/31/2007

Signature
I have completed and reviewed the above information and to the best of my knowledge believe the information to be true and correct.
Signature

Date

Submitting Office Authorization

Name of Partner/Principal or Authorized Deloitte US
Entity Representative

Signature

Date (mm/dd/yyyy)

Entered by

February 3, 2005

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