[{"id":"1db51370-103d-4a94-815d-98cf807ccda8","order":1,"text":"EMPLOYEE ONBOARDING CHECKLIST","fontSize":"22","textAlign":"center","bold":true,"underline":true,"marginBottom":"6","cflou":false,"active":true},{"id":"43067e3b-d997-4b2d-86d3-5967db696de6","order":2,"text":"New Hire Onboarding, Compliance & Record of Completion","fontSize":"16","textAlign":"center","bold":false,"underline":false,"marginBottom":"24","cflou":false,"active":true},{"id":"b6df0ae4-5eea-40fc-88fc-1f16443739fb","order":3,"text":"This Employee Onboarding Checklist (the "Checklist") records the onboarding, verification, and compliance steps undertaken in connection with the hiring of the individual identified below. It is maintained by the Employer as part of the personnel record of the Employee and is intended to evidence the Employer's good-faith completion of the applicable onboarding obligations.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"18","cflou":false,"active":true},{"id":"a5ad0023-50fe-461d-94ce-e685d3e91efd","order":4,"text":"EMPLOYER","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"8","cflou":false,"active":true},{"id":"9ef7355d-b93a-4543-af2d-2cbd87ef0565","order":5,"text":"Legal name of employer: [Employer legal name]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"73ee4259-18b8-4c13-a6d7-c5abe48a0160","order":6,"text":"Business / trade name (if different): [DBA / trade name]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"99a02cd4-1ff1-46b6-9a4a-4a16bf9c5b60","order":7,"text":"Principal business address: [Employer address], [City], [State] [ZIP code].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"e27d043d-262d-4fc6-b155-842932e2591d","order":8,"text":"Federal Employer Identification Number (FEIN/EIN): [Employer EIN].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"d71b400a-6815-431e-ace9-8144aa85e63a","order":9,"text":"Onboarding administered by: [HR contact name], [HR contact title].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"18","cflou":false,"active":true},{"id":"0d83b0a1-fda3-4791-b982-7895bb03aba8","order":10,"text":"EMPLOYEE","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"8","cflou":false,"active":true},{"id":"340bedf4-1d20-4994-b984-410b40c52772","order":11,"text":"Full legal name of employee: [Employee full legal name].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"2d8fb56c-fd78-4d9b-8f82-303a57f745bb","order":12,"text":"Preferred name (if any): [Preferred name].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"2c6d657d-58b8-4398-9763-cf1a9bc40523","order":13,"text":"Home address: [Employee home address].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"4e729bc7-8a29-4189-936e-cf1953dbd50f","order":14,"text":"Personal email: [Employee personal email] — Phone: [Employee phone].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"1b1f51a9-4a6d-402d-b0ab-405315597521","order":15,"text":"Position / job title: [Job title], in the [Department] department, reporting to [Reporting manager].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"aaadde1c-4a97-42ec-947b-21cd7ee12fad","order":16,"text":"Scheduled start date: [Start date].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"6da8f1ee-65c6-4e96-8e6b-95781992a201","order":17,"text":"Work location / arrangement: [Work location or arrangement].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"18","cflou":false,"active":true},{"id":"281ecb22-8a03-4ea4-aae2-dd853dc1e607","order":18,"text":"RECITALS AND PURPOSE","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"8","cflou":false,"active":true},{"id":"2afec14b-39e3-4d37-a940-20715c1ead31","order":19,"text":"The Employer has extended, and the Employee has accepted, an offer of employment. The parties wish to document the steps required to lawfully onboard the Employee, including the collection of required tax and work-authorization forms, the communication of workplace policies, the enrollment of the Employee in payroll and applicable benefit programs, and the provision of the equipment and system access necessary to perform the role. This Checklist serves as the Employer's record that each such step has been addressed.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"12","cflou":false,"active":true},{"id":"1f26aa7d-aefb-4673-9ef4-8be3a4592218","order":20,"text":"Nothing in this Checklist constitutes a contract of employment for any fixed term, alters the at-will nature of the employment relationship where applicable, or supersedes any signed offer letter, employment agreement, or governing employee handbook. In the event of a conflict, the signed offer letter or employment agreement shall control.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"18","cflou":false,"active":true},{"id":"8b282dae-286d-40b1-8e39-bae3dfa6e3f5","order":21,"text":"SECTION 1 — EMPLOYMENT STATUS AND CLASSIFICATION","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"8","marginTop":"10","cflou":false,"active":true},{"id":"97f4df6e-0d01-4a89-901a-1dacabdf7008","order":22,"text":"Employment type: [Employment type]. Employment classification under the Fair Labor Standards Act (FLSA): [FLSA classification].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"8","cflou":false,"active":true},{"id":"04940684-9afe-4a81-a032-3abb01a97778","order":23,"text":"Non-exempt employees are entitled to overtime compensation at not less than one and one-half times their regular rate of pay for hours worked in excess of forty (40) in a workweek, and are required to record all hours worked accurately through the Employer's timekeeping system.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"8","cflou":false,"active":true,"displayConditions":[{"field":"dbecfb85-e223-4273-8571-4b9e21ea5308","value":"Exempt","type":"remove","operator":"="}]},{"id":"bc6a34ac-3e5d-4ba5-a196-79826e3529b3","order":24,"text":"Exempt employees are paid on a salary basis and are not eligible for overtime compensation, consistent with the applicable exemption under the FLSA and any corresponding state law. The Employee's salary is not subject to deduction except as permitted by law.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"8","cflou":false,"active":true,"displayConditions":[{"field":"dbecfb85-e223-4273-8571-4b9e21ea5308","value":"Non-exempt","type":"remove","operator":"="}]},{"id":"b66d8f95-a428-4be0-b874-c63b71194676","order":25,"text":"Unless otherwise stated in a signed offer letter or written agreement, the employment relationship is at-will, meaning that either the Employee or the Employer may terminate the relationship at any time, with or without cause and with or without notice, subject to applicable law.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"48685bbd-157d-4e33-aaf8-0e85c49d09f9","order":26,"text":"SECTION 2 — HUMAN RESOURCES AND ONBOARDING PAPERWORK","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"8","marginTop":"10","cflou":false,"active":true},{"id":"5f44334d-a8f1-4930-920a-db46e59edb85","order":27,"text":"The Employer confirms that the following human-resources documents have been provided to, completed by, or executed with the Employee, and that signed copies have been placed in the Employee's personnel file:","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"8","cflou":false,"active":true},{"id":"e129d1b5-a192-490c-a941-ea04140e5b0d","order":28,"text":"(a) Signed offer letter or employment agreement — status: [Offer letter status];","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"89156b3e-bf3d-4dfa-bbee-528950392ac0","order":29,"text":"(b) Employee Handbook acknowledgment of receipt — status: [Handbook acknowledgment status];","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"aaf7acf8-bb8a-4f33-ba3b-b8be3c16023b","order":30,"text":"(c) Code of Conduct and Confidentiality / Proprietary Information agreement — status: [Confidentiality agreement status];","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"e76ede8d-4398-4c60-9d83-4350db1cdbe2","order":31,"text":"(d) Emergency contact information — status: [Emergency contact status];","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"310c369d-7bfb-4c84-9eb5-d58f53235260","order":32,"text":"(e) Direct-deposit authorization form — status: [Direct deposit form status].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"8","cflou":false,"active":true},{"id":"0f2cc9e9-8335-4dca-b644-a082e9c0a38e","order":33,"text":"The Employee acknowledges that receipt of the Employee Handbook does not create a contract of employment and that the Employer reserves the right to modify its policies at any time, consistent with applicable law.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"66653c3a-3717-49d4-a377-5b3d55f099fe","order":34,"text":"SECTION 3 — LEGAL AND REGULATORY COMPLIANCE","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"8","marginTop":"10","cflou":false,"active":true},{"id":"9dbd4aa2-fc01-4751-a0a0-fc404041f55d","order":35,"text":"The Employer confirms completion of the following legally required onboarding obligations:","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"8","cflou":false,"active":true},{"id":"1554a1e2-a0de-4071-8a80-fa8e06795329","order":36,"text":"(a) Form I-9, Employment Eligibility Verification — Section 1 completed by the Employee no later than the first day of employment, and Section 2 completed by the Employer within three (3) business days of the start date. Date Section 2 completed: [I-9 Section 2 date]. The Employer has examined original, unexpired documentation establishing the Employee's identity and authorization to work in the United States, and has retained the Form I-9 separately from the personnel file as required by law.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"96ac45e9-1d9f-444b-b812-9a95f112225a","order":37,"text":"Where the Employer participates in E-Verify, the Employee's work authorization has additionally been confirmed through an E-Verify case — [E-Verify status].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true,"displayConditions":[{"field":"a922f018-5453-416a-a909-c46390739cbb","value":"","type":"remove","operator":"="}]},{"id":"631a45f9-7872-4f88-805c-2f9d3605260f","order":38,"text":"(b) Form W-4, Employee's Withholding Certificate, and any applicable state withholding certificate — collected on: [W-4 date].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"f034958c-95e3-4260-b590-0eda1faabdae","order":39,"text":"(c) New-hire reporting to the applicable state directory of new hires has been or will be submitted within the statutory deadline.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"58764b6d-d5cb-4650-aaa5-5b53a1ee55d8","order":40,"text":"(d) Equal Employment Opportunity (EEO) and anti-harassment policies, including the Employer's complaint and reporting procedures, have been provided to and reviewed with the Employee.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"01cbe66a-e0b5-49d6-856c-56ce42cdb8d6","order":41,"text":"(e) All federal and state workplace notices and postings required to be furnished to new employees have been provided or made accessible to the Employee.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"994edf5f-830b-4901-821f-9594adabaed9","order":42,"text":"(f) Required state-specific notices for the State of [State] (including any wage-rate or pay-transparency notice required at hire) — status: [State notice status].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"8","cflou":false,"active":true},{"id":"686195e0-614f-47ea-9794-fd1006935b74","order":43,"text":"The Employer maintains these records in accordance with applicable federal and state record-retention requirements and restricts access to authorized personnel only.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"350fcae4-253e-4b73-b527-5779dd80776c","order":44,"text":"SECTION 4 — PAYROLL AND BENEFITS ENROLLMENT","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"8","marginTop":"10","cflou":false,"active":true},{"id":"b2412391-1d32-4f87-9cd4-c8ff8758d172","order":45,"text":"The Employee's compensation is [Compensation rate], paid on a [Pay frequency] basis. The first scheduled pay date is [First pay date].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"8","cflou":false,"active":true},{"id":"18b545f7-e0ed-4a0b-8957-53688406d8c6","order":46,"text":"Time worked is to be recorded by the Employee through the Employer's timekeeping system, and approved by the Employee's manager, for each pay period. The Employer will compute and remit all required federal, state, and local payroll taxes and withholdings.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"8","cflou":false,"active":true,"displayConditions":[{"field":"dbecfb85-e223-4273-8571-4b9e21ea5308","value":"Exempt","type":"remove","operator":"="}]},{"id":"3c7775df-90b6-4d3a-b279-d507f230c48f","order":47,"text":"As an exempt, salaried employee, the Employee will be paid the agreed salary for each pay period in which work is performed, subject to permissible deductions under applicable law.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"8","cflou":false,"active":true,"displayConditions":[{"field":"dbecfb85-e223-4273-8571-4b9e21ea5308","value":"Non-exempt","type":"remove","operator":"="}]},{"id":"ed3aa504-29e4-4699-9314-d077384dcc36","order":48,"text":"The Employer confirms that the following payroll and benefits items have been addressed:","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"8","cflou":false,"active":true},{"id":"eb12eda6-ab14-49c5-b1d2-4677d3120a15","order":49,"text":"(a) Enrollment in the payroll system and setup of direct deposit or pay-card distribution;","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"1640891b-3571-4603-8438-3edfd3c09fe0","order":50,"text":"(b) Communication of benefits eligibility and enrollment windows — benefits eligibility date: [Benefits eligibility date];","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"8adacf26-4e25-4d81-b558-f913256655c4","order":51,"text":"(c) Paid time off, sick leave, and holiday policy explained — annual PTO allotment: [PTO allotment].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"e93a7b0e-8689-45fa-a1f4-0047872cebb8","order":52,"text":"Where the Employee is eligible, health, dental, and vision insurance enrollment materials have been provided.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true,"displayConditions":[{"field":"3c8df139-5c6c-4b0b-a374-b84d6aa6b4bd","value":"","type":"remove","operator":"="}]},{"id":"5d3f6b78-8d48-482a-ad57-7815c1154211","order":53,"text":"Where applicable, retirement / 401(k) plan enrollment information and any employer-match terms have been provided to the Employee.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true,"displayConditions":[{"field":"4a8b7090-5da6-4258-b816-cc0cd31b0061","value":"","type":"remove","operator":"="}]},{"id":"a756966c-df84-46e4-a74c-67de55be2428","order":54,"text":"Eligibility for any benefit plan is governed solely by the terms of the applicable plan documents, which control in the event of any conflict with this Checklist.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"9bf7ab82-1c0b-4f9b-ad37-606cd92fb67f","order":55,"text":"SECTION 5 — INFORMATION TECHNOLOGY AND EQUIPMENT SETUP","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"8","marginTop":"10","cflou":false,"active":true},{"id":"98257145-1243-4170-8c4d-a339b3e447a5","order":56,"text":"The Employer confirms that the following information-technology provisioning and access steps have been completed or scheduled prior to or on the Employee's start date:","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"8","cflou":false,"active":true},{"id":"e145c655-1372-4aab-acd1-0caa55a20c56","order":57,"text":"(a) Creation of network, email, and single-sign-on (SSO) accounts, and assignment of initial credentials to be changed by the Employee upon first login;","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"4b07b6a3-03b7-4b36-a0f6-7f1950c85ac8","order":58,"text":"(b) Issuance of equipment to the Employee, consisting of: [Equipment issued];","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"df520b16-1ce3-4679-9c47-89c331fe0d25","order":59,"text":"(c) Provisioning of role-based access to the applications and systems required for the position, on a least-privilege basis;","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"1b4e9b6b-82b4-481a-bcda-d1bbec9610e9","order":60,"text":"(d) Delivery of, and acknowledgment by the Employee of, the Acceptable Use, Information Security, and Data Protection policies governing the use of Employer systems and data;","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"22167c2a-a1e5-42d8-bf63-586cbb82e6e9","order":61,"text":"(e) Configuration of multi-factor authentication and enrollment of the Employee's devices in the Employer's device-management and security tooling.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"8","cflou":false,"active":true},{"id":"97320f1d-c609-4ae2-acef-0b1f355ea15a","order":62,"text":"All equipment and access credentials issued to the Employee remain the property of the Employer and must be returned or revoked upon separation. The Employee shall use Employer systems solely for authorized business purposes and in accordance with Employer policy and applicable law.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"f2655d31-8cc7-46ec-a560-e59421525c11","order":63,"text":"SECTION 6 — CONFIDENTIALITY AND DATA PROTECTION","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"8","marginTop":"10","cflou":false,"active":true},{"id":"03487362-25c6-4936-822a-f5e62fe7fef5","order":64,"text":"The Employee acknowledges that, in the course of employment, the Employee may have access to confidential and proprietary information of the Employer and of third parties. The Employee agrees to maintain the confidentiality of such information during and after employment, and to comply with all Employer policies and applicable laws governing the handling of personal and sensitive data.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"8","cflou":false,"active":true},{"id":"f0487d82-10ab-451e-adda-30c876b87e28","order":65,"text":"Personal information collected from the Employee during onboarding is processed for employment-administration, payroll, benefits, tax, and legal-compliance purposes, is retained in accordance with applicable law, and is accessible only to personnel with a legitimate need.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"1173bdde-1623-4bac-8d66-dc2a1e9304c4","order":66,"text":"SECTION 7 — ACKNOWLEDGMENTS AND GENERAL PROVISIONS","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"8","marginTop":"10","cflou":false,"active":true},{"id":"7f98dfd4-b16a-4dca-ba92-a12a9e054821","order":67,"text":"The Employee acknowledges that the onboarding steps recorded in this Checklist have been completed, that the Employee has received and reviewed the policies referenced herein, and that the Employee has had the opportunity to ask questions regarding them.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"8","cflou":false,"active":true},{"id":"f61e49b1-9c59-4137-be6e-b2cefd5337a3","order":68,"text":"This Checklist is an internal record and does not modify the at-will employment relationship where applicable, nor does it guarantee employment for any specific duration. The invalidity or unenforceability of any provision of this Checklist shall not affect the validity or enforceability of any other provision. This Checklist is governed by the laws of the United States and, to the extent applicable, the laws of the State of [State], without regard to its conflict-of-laws principles.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"8","cflou":false,"active":true},{"id":"12b3f255-5528-4da4-9e3d-34a0df04fe5f","order":69,"text":"Additional notes: [Additional notes].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true,"displayConditions":[{"field":"c3c3c107-56a5-485a-9939-ced120c61f65","value":"","type":"remove","operator":"="}]},{"id":"a2757d6f-b97e-4898-8b78-8246206ef1ea","order":70,"text":"CERTIFICATION AND SIGNATURES","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true,"marginTop":"10"},{"id":"a84af3b7-3032-44f3-98f9-dabf58293e42","order":71,"text":"The undersigned certify that the information recorded in this Checklist is accurate and that the onboarding steps described have been completed to the best of their knowledge.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"16","cflou":false,"active":true},{"id":"88e93e33-471b-4084-9d8e-8da46eff3244","order":72,"text":"EMPLOYEE","fontSize":"14","textAlign":"left","bold":true,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"ba390aa1-5a39-4338-82aa-10c3db21496c","order":73,"text":"Signature: __________________________________ Date: [Date]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"c1c73371-e0cb-4683-a6fd-acb5cde6c3ce","order":74,"text":"Print name: [Employee full legal name]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"18","cflou":false,"active":true},{"id":"417988d2-757e-4e9e-9de2-61ee31c3c776","order":75,"text":"EMPLOYER REPRESENTATIVE","fontSize":"14","textAlign":"left","bold":true,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"7844b4a3-caa9-45a9-8704-ff16db80019e","order":76,"text":"Signature: __________________________________ Date: [Date]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"3d21d4af-3c69-451d-bd7a-79eac64c2cc3","order":77,"text":"Print name: [Employer representative name], [Title]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true}]