Employee Electronic Delivery Consent

Employee Electronic Delivery Consent

Employee Information

Position Information

Documents Eligible for Electronic Delivery

The Employer will deliver the following categories of employment-related documents electronically to the Primary Email for Delivery unless the Employee withdraws consent as provided below. Please indicate agreement to receive each type electronically:

Pay statements and earning records

Tax documents (for example, year-end forms)

Benefit plan notices, enrollment materials, and benefit statements

Employment policies, handbook updates, and other workplace notices

Offer letters, separation notices, and employment agreements

Performance evaluations and disciplinary notices

Electronic Delivery Terms and Acknowledgements

By signing this Consent, Employee affirms that Employee has the hardware and software necessary to access and retain electronic documents, including a device capable of opening common document formats (for example, PDF) and a functioning email account. Employee further affirms that Employee can receive email at the Primary Email for Delivery:

Employee acknowledges that electronic delivery will be deemed effective when the Employer sends the document to the designated email address listed in this form, or another address designated in writing by Employee. The Employer may provide electronic documents either as attachments or by secure portal delivery; Employee consents to the use of either method.

Employee represents that Employee's email account is private and secure and that Employee will notify Employer promptly of any change to the designated email address. Employee understands that if electronic delivery fails due to an inaccurate or inaccessible email address, Employer's obligation to provide the document is satisfied if Employer followed its standard delivery process.

Hardware, Software, and Consent Confirmation

Minimum system requirements for electronic delivery include a device with a modern web browser and a PDF reader. By checking the box below, Employee confirms possession of the necessary equipment and ability to receive electronic documents.

I confirm I have the hardware and software necessary to access and retain electronic documents and I can receive email at the address provided.

Withdrawal of Consent; Requesting Paper Copies

Employee may withdraw this consent at any time by submitting a written request to Human Resources. Withdrawal will be effective within a reasonable administrative time period not to exceed 30 calendar days after receipt. To request a paper copy of any document previously delivered electronically, Employee may submit a request to Human Resources; Employer may charge a reasonable fee for reproduction and mailing.

Authorization for Background and Reference Checks

As part of the employment process and consistent with Employer policy, Employee authorizes Employer to contact prior employers and listed references and to conduct lawful background checks. Employee's authorization extends to verifying employment dates, positions held, and reason for separation. Check the box below to acknowledge authorization.

I authorize Employer to contact prior employers and references and to conduct background checks as permitted by law.

Employment History

Employer 1

Employer 2

Education

References

Reference 1

Reference 2

Reference 3

Legal Disclosures

At-Will Employment: Employee acknowledges and understands that, unless bound by a written agreement signed by an authorized representative of Employer, employment is at-will and either party may terminate the employment relationship at any time, with or without cause and with or without notice.

Equal Opportunity: Employer is an equal opportunity employer. Employment decisions are made without regard to protected characteristics as defined by applicable law.

I acknowledge the At-Will Employment statement.

I acknowledge the Equal Opportunity statement.

Certification and Authorizations

I certify that all information provided in this form is true and complete to the best of my knowledge. I understand that false statements or omissions may be grounds for disciplinary action, up to and including termination of employment. I authorize Employer to rely on this consent for electronic delivery until I provide written revocation.

I certify that the information provided is accurate and I authorize the acts described above.

Acknowledgement of Receipt

Employee acknowledges receipt of a copy of this Employee Electronic Delivery Consent and agrees that an electronic signature on this form shall have the same legal force and effect as a handwritten signature.

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