1. This is the DEN application intended for airport employees. You should only fill this application if told to do so. If you are not sure if this is the correct application please contact us and ask for further instruction.
2. You will be asked to provide a copy of your ID and Social security card. Please have these available or you will be asked to redo your application from the begining.
2. Do Not hit the "Submit" button untill your application is complete or you will be asked to redo the application.
Department of the Treasury Internal Revenue Service
Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay.
Give Form W-4 to your employer.
Your withholding is subject to review by the IRS.
Does your name match the name on your social security card? If not, to ensure you get credit for your earnings, contact SSA at 800-772-1213 or go to www.ssa.gov
Complete Steps 2–4 ONLY if they apply to you; otherwise, skip to Step 5.
Complete this step if you (1) hold more than one job at a time, or (2) are married filing jointly and your spouse also works. The correct amount of withholding depends on income earned from all of these jobs.
Do only one of the following.
(a) Use the estimator at www.irs.gov/W4App for most accurate withholding for this step (and Steps 3–4); or
(b) Use the Multiple Jobs Worksheet on page 3 and enter the result in Step 4(c) below for roughly accurate withholding; or
TIP: To be accurate, submit a 2020 Form W-4 for all other jobs. If you (or your spouse) have self-employment income, including as an independent contractor, use the estimator.
Complete Steps 3–4(b) on Form W-4 for only ONE of these jobs. Leave those steps blank for the other jobs. (Your withholding will be most accurate if you complete Steps 3–4(b) on the Form W-4 for the highest paying job
If your income will be $200,000 or less ($400,000 or less if married filing jointly):
include interest, dividends, and retirement income .
Under penalties of perjury, I declare that this certificate, to the best of my knowledge and belief, is true, correct, and complete.
Employee’s signature (This form is not valid unless you sign it
For the latest information about developments related to Form W-4, such as legislation enacted after it was published, go to www.irs.gov/FormW4.
Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay. If too little is withheld, you will generally owe tax when you file your tax return and may owe a penalty. If too much is withheld, you will generally be due a refund. Complete a new Form W-4 when changes to your personal or financial situation would change the entries on the form. For more information on withholding and when you must furnish a new Form W-4, see Pub. 505. Exemption from withholding. You may claim exemption from withholding for 2020 if you meet both of the following conditions: you had no federal income tax liability in 2019 and you expect to have no federal income tax liability in 2020. You had no federal income tax liability in 2019 if (1) your total tax on line 16 on your 2019 Form 1040 or 1040-SR is zero (or less than the sum of lines 18a, 18b, and 18c), or (2) you were not required to file a return because your income was below the filing threshold for your correct filing status. If you claim exemption, you will have no income tax withheld from your paycheck and may owe taxes and penalties when you file your 2020 tax return. To claim exemption from withholding, certify that you meet both of the conditions above by writing “Exempt” on Form W-4 in the space below Step 4(c Then, complete Steps 1(a), 1(b), and 5. Do not complete any other steps. You will need to submit a new Form W-4 by February 16, 2021. Your privacy. If you prefer to limit information provided in Steps 2 through 4, use the online estimator, which will also increase accuracy. As an alternative to the estimator: if you have concerns with Step 2(c), you may choose Step 2(b); if you have concerns with Step 4(a), you may enter an additional amount you want withheld per pay period in Step 4(c If this is the only job in your household, you may instead check the box in Step 2(c), which will increase your withholding and significantly reduce your paycheck (often by thousands of dollars over the year When to use the estimator. Consider using the estimator at www.irs.gov/W4App if you: 1. Expect to work only part of the year; 2. Have dividend or capital gain income, or are subject to additional taxes, such as the additional Medicare tax; 3. Have self-employment income (see below); or 4. Prefer the most accurate withholding for multiple job situations. Self-employment. Generally, you will owe both income and self-employment taxes on any self-employment income you receive separate from the wages you receive as an employee. If you want to pay these taxes through withholding from your wages, use the estimator at www.irs.gov/W4App to figure the amount to have withheld. Nonresident alien. If you’re a nonresident alien, see Notice 1392, Supplemental Form W-4 Instructions for Nonresident Aliens, before completing this form.
Check your anticipated filing status. This will determine the standard deduction and tax rates used to compute your withholding. Step 2. Use this step if you (1) have more than one job at the same time, or (2) are married filing jointly and you and your spouse both work. Option (a) most accurately calculates the additional tax you need to have withheld, while option (b) does so with a little less accuracy. If you (and your spouse) have a total of only two jobs, you may instead check the box in option (c). The box must also be checked on the Form W-4 for the other job. If the box is checked, the standard deduction and tax brackets will be cut in half for each job to calculate withholding. This option is roughly accurate for jobs with similar pay; otherwise, more tax than necessary may be withheld, and this extra amount will be larger the greater the difference in pay is between the two jobs. Multiple jobs. Complete Steps 3 through 4(b) on only one Form W-4. Withholding will be most accurate if you do this on the Form W-4 for the highest paying job.
Step 3. Step 3 of Form W-4 provides instructions for determining the amount of the child tax credit and the credit for other dependents that you may be able to claim when you file your tax return. To qualify for the child tax credit, the child must be under age 17 as of December 31, must be your dependent who generally lives with you for more than half the year, and must have the required social security number. You may be able to claim a credit for other dependents for whom a child tax credit can’t be claimed, such as an older child or a qualifying relative. For additional eligibility requirements for these credits, see Pub. 972, Child Tax Credit and Credit for Other Dependents. You can also include other tax credits in this step, such as education tax credits and the foreign tax credit. To do so, add an estimate of the amount for the year to your credits for dependents and enter the total amount in Step 3. Including these credits will increase your paycheck and reduce the amount of any refund you may receive when you file your tax return.
Step 4(a Enter in this step the total of your other estimated income for the year, if any. You shouldn’t include income from any jobs or self-employment. If you complete Step 4(a), you likely won’t have to make estimated tax payments for that income. If you prefer to pay estimated tax rather than having tax on other income withheld from your paycheck, see Form 1040-ES, Estimated Tax for Individuals. Step 4(b Enter in this step the amount from the Deductions Worksheet, line 5, if you expect to claim deductions other than the basic standard deduction on your 2020 tax return and want to reduce your withholding to account for these deductions. This includes both itemized deductions and other deductions such as for student loan interest and IRAs. Step 4(c Enter in this step any additional tax you want withheld from your pay each pay period, including any amounts from the Multiple Jobs Worksheet, line 4. Entering an amount here will reduce your paycheck and will either increase your refund or reduce any amount of tax that you owe.
Step 2(b)—Multiple Jobs Worksheet (Keep for your records
If you choose the option in Step 2(b) on Form W-4, complete this worksheet (which calculates the total extra tax for all jobs) on only ONE Form W-4. Withholding will be most accurate if you complete the worksheet and enter the result on the Form W-4 for the highest paying job. Note: If more than one job has annual wages of more than $120,000 or there are more than three jobs, see Pub. 505 for additional tables; or, you can use the online withholding estimator at www.irs.gov/W4App.
1 Two jobs. If you have two jobs or you’re married filing jointly and you and your spouse each have one job, find the amount from the appropriate table on page 4. Using the “Higher Paying Job” row and the
“Lower Paying Job” column, find the value at the intersection of the two household salaries and enter
that value on line 1. Then, skip to line 3 .
Three jobs. If you and/or your spouse have three jobs at the same time, complete lines 2a, 2b, and 2c below. Otherwise, skip to line 3.
a Find the amount from the appropriate table on page 4 using the annual wages from the highest paying job in the “Higher Paying Job” row and the annual wages for your next highest paying job
in the “Lower Paying Job” column. Find the value at the intersection of the two household salaries
and enter that value on line 2a .......................
b Add the annual wages of the two highest paying jobs from line 2a together and use the total as the wages in the “Higher Paying Job” row and use the annual wages for your third job in the “Lower
Paying Job” column to find the amount from the appropriate table on page 4 and enter this amount
cAdd the amounts from lines 2a and 2b and enter the result on line 2c ..........
Enter the number of pay periods per year for the highest paying job. For example, if that job pays
weekly, enter 52; if it pays every other week, enter 26; if it pays monthly, enter 12, etc. .
Divide the annual amount on line 1 or line 2c by the number of pay periods on line 3. Enter this amount here and in Step 4(c) of Form W-4 for the highest paying job (along with any other additional
amount you want withheld) .........................
Step 4(b)—Deductions Worksheet (Keep for your records
Enter an estimate of your 2020 itemized deductions (from Schedule A (Form 1040 or 1040-SR
deductions may include qualifying home mortgage interest, charitable contributions, state and local
taxes (up to $10,000), and medical expenses in excess of 7.5% of your income
If line 1 is greater than line 2, subtract line 2 from line 1. If line 2 is greater than line 1, enter “-0-” .
Enter an estimate of your student loan interest, deductible IRA contributions, and certain other
adjustments (from Part II of Schedule 1 (Form 1040 or 1040-SR
See Pub. 505 for more information
Add lines 3 and 4. Enter the result here and in Step 4(b) of Form W-4 ...........
Privacy Act and Paperwork Reduction Act Notice. We ask for the information on this form to carry out the Internal Revenue laws of the United States. Internal Revenue Code sections 3402(f2) and 6109 and their regulations require you to provide this information; your employer uses it to determine your federal income tax withholding. Failure to provide a properly completed form will result in your being treated as a single person with no other entries on the form; providing fraudulent information may subject you to penalties. Routine uses of this information include giving it to the Department of Justice for civil and criminal litigation; to cities, states, the District of Columbia, and U.S. commonwealths and possessions for use in administering their tax laws; and to the Department of Health and Human Services for use in the National Directory of New Hires. We may also disclose this information to other countries under a tax treaty, to federal and state agencies to enforce federal nontax criminal laws, or to federal law enforcement and intelligence agencies to combat terrorism.
You are not required to provide the information requested on a form that is subject to the Paperwork Reduction Act unless the form displays a valid OMB control number. Books or records relating to a form or its instructions must be retained as long as their contents may become material in the administration of any Internal Revenue law. Generally, tax returns and return information are confidential, as required by Code section 6103. The average time and expenses required to complete and file this form will vary depending on individual circumstances. For estimated averages, see the instructions for your income tax return. If you have suggestions for making this form simpler, we would be happy to hear from you. See the instructions for your income tax return.
U.S. Citizenship and Immigration Services
OMB No. 1615-0047 Expires 08/31/2019
START HERE: Read instructions carefully before completing this form. The instructions must be available, either in paper or electronically, during completion of this form. Employers are liable for errors in the completion of this form. ANTI-DISCRIMINATION NOTICE: It is illegal to discriminate against work-authorized individuals. Employers CANNOT specify which document(s) an employee may present to establish employment authorization and identity. The refusal to hire or continue to employ an individual because the documentation presented has a future expiration date may also constitute illegal discrimination.
I am aware that federal law provides for imprisonment and/or fines for false statements or use of false documents in connection with the completion of this form. I attest, under penalty of perjury, that I am (check one of the following boxes):
Aliens authorized to work must provide only one of the following document numbers to complete Form I-9: An Alien Registration Number/USCIS Number OR Form I-94 Admission Number OR Foreign Passport Number.
(Fields below must be completed and signed when preparers and/or translators assist an employee in completing Section 1
I attest, under penalty of perjury, that I have assisted in the completion of Section 1 of this form and that to the best of my knowledge the information is true and correct.
Address (Street Number and Name)
I agree to report to the person in charge any of the following symptoms of foodborne illness:
3. Jaundice – yellow skin or eye color
4. Sore throat with fever
5. Infected wounds
I agree to report to the person in charge if a doctor says that I have one of the following infections:
5. Hepatitis A
I agree to report to the person in charge if I am exposed to foodborne illness in any of the following ways:
1. I am exposed to a confirmed outbreak of foodborne illness;
2. Someone who lives in my house is diagnosed with a foodborne illness;
3. Someone who lives in my house attends an event or works in a place which has aconfirmed outbreak of foodborne illness.
I understand that if I fail to meet the terms of this agreement, action could be taken by the food establishment or by the County Health Department that may affect my employment.
Policy – REV.01.02.2017LFL International Inc. (LFL) is a temporary employment agency and an at-will employer.LFL International Inc. has a strict policy against all types of workplace harassment, including sexual harassment and other forms of workplace harassment based upon an individual’s sex, race, religion, color, national origin, physical or mental disability, marital status, age, sexual orientation, sexual identity or any other status protected by federal state or local laws. All forms of harassment or, or by, employees, vendors, visitors, customers and clients are strictly prohibited and will not be tolerated.All new hires and current employees are required by federal law to verify their identity and eligibility to work in the United States. LFL International Inc. participates in the E-Verify program.Employees will face a fine up to 10% of annual salary if they accept a position LFL introduced them to without company knowledge.Employees are prohibited from operating client motor vehicles. Notification to the company is required if the request is being made of the employee.Employees are not allowed to use the company or client property during hours not scheduled for work. This includes building services.Personal cell phone use at work is strictly prohibited. Cell phone use will be limited to breaks and lunches away from the work area.
Company property, including but not limited to, lockers, phones, computers, tablets, desks, work place areas, or machinery remains under the control of the company and is subject to inspection at any time, without notice to the employee, and without the employee’s presence.
Use of voicemail, telephone, email and internet by an employee at a client location or on company property will be limited to work related items.
Social Media posts by employees should be limited to accurate information aboutLFL International Inc. Any inaccurate or internal communications relating to the company or the client company assignment, including trade secrets, will be investigated.
Involvement in criminal activity, whether on or off company property / time, will result indisciplinary action including termination of employment.
If an employee fails to arrive for work, call out sick of work, or call in with an acceptable reason for the absence, he or she will be considered to have abandoned his or her job and resigned fromthe company.
LFL International Inc.has a zero-tolerance policy for violence and drugs, including marijuana in the work place. Any instances of weapons or violence used or threatened on company property or against company employees is a terminable offense. Any drug including marijuana use or possession of drugs or controlled substances on company property or during work hours is a terminable offense.
LFL International Inc.does not permit employees to carry handguns openly or concealed. “Pursuant to section 30.06, penal code (Trespass by license holder with a concealed handgun), A person licensed under
Pay period is Sunday through Saturday. You are paid the following Friday for work the prior week
subchapter H, chapter 411, Government Code (Handgun Licensing Law), maynot enterLFL International Inc. or any client ofLFL International Inc.property with a concealed handgun.”
LFL International Inc.has a no solicitation policy. Solicitation included canvassing, soliciting or seeing to obtain membership in or support forany organization, requesting contributions, and postings or distributing handbills, pamphlets, petitions, and other materials on company property or using company resources. Solicitation performed through verbal, written or electronic means is covered inthis policy.
You are expected to maintain personal hygiene habits that are generally accepted in the community (clean clothing, good grooming and personal hygiene and appropriate social behavior If PersonalProtection Equipment(PPE)is required for your position, proper maintenance of PPE is required and covered under this policy.
If you are terminated for violation of any ofLFL International Inc.Policies you will be ineligible for rehire and will benot be able to work futureassignments through LFL International Inc.
LFL International Inc.has a strict attendance policy–three (3) or more occurrences in one3-monthperiod will be cause for termination.
An employee who fails to work at an assignment longer than 1 week will be liable for thecost of their drug screen and background check. This will be automatically deducted from the employees final check.
To find further employment withLFL International Inc.after an assignment ends (not after an assignment termination), an employee quits the assignment or an employee is hired with a client,said employee must call LFLand mark themselves as available for future work. Failure to do so after 24 hours from the last day of work will be considered resigned from the company. Failure to complete these steps will disqualify you from receiving unemployment benefits.
Employee pay is set byLFL International Inc.clients. There are no guarantees to offer same or similar pay rates between assignments. Additionally,LFL International Inc.will NOT guarantee pay increases.
LFL International Inc.does not offer payroll advances or loans.
There is a $3.49 weekly administrative fee. This will be taken outof employee’s paychecks when they receive paychecks fromLFL International Inc.
LFL International Inc.is required by federal and state law to deduct from your paycheck (regular and overtime), federal income tax, state income, unemployment tax, FICA contributions, medical insurance deductions and any other deductions mandated by the federal, state or city government (garnishments
It is the employee’s responsibility to manage your timecard and send on time. All time cards are due by 10 AM on Monday. Late timecards may not be processed on time for a Friday direct deposit.
LFL International Inc.has elected to do 100% electronic direct deposit for all employees. All payroll will be a direct deposit into your banking account.
Employees who fail to follow the above policies are subject to a write up and/or possible termination.
Any employee who does nothave direct deposit will receive a paper check. Failure to provide a complete address will delay receipt of the employees pay checkand possibly payment.LFL International Inc.will not be liable for pay checksthat are not delivered on time due to incorrect or incomplete address.
If a direct deposit is returned due toincorrect informationyou present toLFL International Inc., the employee must wait until the funds have been reversed back into the company’s account before they will be funded.
Any discrepancy with your time card and/or your paycheck should be escalated to the payroll department ONLY. Upon receipt of the issue, LFLPayroll will have up to 3business days to review and resolve the discrepancy. Employees ofLFL International Inc.are NOT allowed to contact the client directly.
All work-related accidents, incidents and injuries are required to have a drug screen within 1 hour of the incident. Violation is immediate termination and reduction by 50% of workers compensation benefits (if applicable
In the event, you fail to pass a post-injury drug screen related to your injury, you will be responsible for the full amount of the drug screen and terminated immediately. The cost of the drug screen will be deducted from your final pay check.
Inthe event of a non-life threatening injury, employees are not permitted to use ambulatory services. Any charges incurred in violation of this policy will be at the expense of the employee.
Worker’s compensation insurance requires all employees to completeand turn in paperwork within the first 24 hours of an injury or incident on a work site. Failure to comply could result in a 50% reduction in worker’s compensation benefits.
Jury Duty notice must be sent to the client location supervisor ANDLFL International Inc.prior to the employee missing work.
LFL International Inc.employeesMUST notify their assigned supervisor AND aLFL International Inc.company representative,thirty (30) minutesprior tothe employee’s start timeif you expect or are going to be late. The employee hotline is720-840-9542.Failure to do one or the other will count as an unexcused absence and may be a terminable offense.
I, blanks , hereby acknowledge that I have read and understand the policies for my employment with LFL International Inc..I attest with this signature that should I have any questions regarding my employment or the above policies, I will consult a company staff member immediately.
LFL INTERNATIONAL INC., EMPLOYEE INFORMATION /2017
I understand it is my responsibility to notify the company of any change of address or other pertinent information.