Employee Update Status Form Employee Update Status Form Place of Employment Click to choose location A Whole Lara Tacos All inBloom Buenos Inc - Mucho Buenos El Cantarito Inc - Salsa Mexican Grill Carniceria Jalisco Mex Casa Azteca - Fiesta Mariachi GC Casa Fiesta Do2 Sabores DeJesus Landscaping El Venero LLC - El Parral Mex Rest Fernando Lara - Fiesta Mariachi GV Fiesta Mexicana Fiesta Sol Inc - Fiesta Mexicana Too! Five Star Construction Gemminis Inc - Casa Bravos Jasinto Inc - Casa Fiesta Jerez LLC - Mi Sombrero Lara Tacos - Las Tapias Birria Las Margaritas Los Cabos Ramos Roofing and Remodeling Sanchez Inc - Rancho Fiesta Sanchez Properties S & G Bast Inc - Catering by Scott Simplified Bookkeeping Inc Tasty Concessions Townsend & Jones Inc Personal Information First Name * Middle Initial Last Name * Social Security Number * Date of Birth * Sex * Male Female Click to Choose New Home Address * Apt # New Home City * New Home State * New Home Zip Code * New Mobile/Home Phone Number * New Email Address Status Change New Position * New Pay Rate * Effective Date of Change * Deductions Withholding Deductions (Are you) * Single Married Exemptions (How many deductions) * Extra Withholding Federal (Dollar Amt of Extra Tax) *