Sample form for

New Hire Rate of Pay

Company Name
Address
Address

Employee name: ___________________________________________________

Date: ___________________________________________________

Rate of pay $ ___________________________________________________

Pay period is _________________________________________________

Payday is _________________________________________________

Benefits offered: _________________________________________________

________________________________________________________________
Signature of employee

Changes in Rate of Pay

Date: ___________________________________________________________

Rate of pay ____________________________________________________

________________________________________________________________
Signature of employee

Changes in Rate of Pay

Date: _____________________________________________________________

Rate of pay: _______________________________________________________

__________________________________________________________________
Signature of employee