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Step 1 of 16 - General

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In which state will the new employee work?(Required)

Different states have different rules and regulations. Your sign-on bonus agreement will be customized for your state.

What will the employee be paid as a bonus to start work?(Required)

Please enter a number greater than or equal to 0.01.

Input the total amount of the bonus, including in and all installments.

What is the company name?(Required)

What is the company address?(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

How would you like to pay for the bonus?(Required)

One Lump Sum

Multiple Installments

Number of Installments

Please enter a number from 1 to 5.

Installment 1

% of Total Bonus(Required)

Please enter a number from 0 to 100.

$ Value

When will this installment be paid?(Required)

First paycheck

First paycheck after

Installment 2

% of Total Bonus(Required)

Please enter a number from 0 to 100.

$ Value

When will this installment be paid?(Required)

First paycheck

First paycheck after

Installment 3

% of Total Bonus(Required)

Please enter a number from 0 to 100.

$ Value

When will this installment be paid?(Required)

First paycheck

First paycheck after

Installment 4

% of Total Bonus(Required)

Please enter a number from 0 to 100.

$ Value

When will this installment be paid?(Required)

First paycheck

First paycheck after

Installment 5

% of Total Bonus(Required)

Please enter a number from 0 to 100.

$ Value

When will this installment be paid?(Required)

First paycheck

First paycheck after

Totals

% Total

$ Total

When will this bonus be paid?(Required)

First paycheck

First paycheck after

What is the employee's full name?(Required)

What is the employee's address?

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

When will the employee start work?

MM slash DD slash YYYY

What will the new employee's title be?

What will be the classification of the employee?

Part-time

Full-time

Will you require the employee to remain employed with you or else repay the bonus?(Required)

Yes

No

How long will you require the employee to remain employed with you for the bonus to be considered earned?(Required)

Until

After first paycheck

If the employee leaves early, will the employee be required to pay the full amount back or the just a prorated amount?(Required)

Pro-rated proportionally to the work term obligation

Full Bonus

Will you include an option to forgive bonus repayment in the event the employee leaves earlier for an acceptable reason?(Required)

Yes

No

When will the agreement be signed?

MM slash DD slash YYYY

If you are unsure, leave blank to be filled in upon signing.

What are the titles of all the employer's representatives that will be required to sign on this agreement?

Name (if known)

Title (if known)

If you are unsure, leave blank rows to be filled in upon signing.
If multiple representatives, click the add row button.
Do not include the employee candidate.