<p> Employee Setup and Maintenance Form *shaded fields generally do not come from PMIS</p><p>REQUEST New Employee Personal Information Change Job Information Change Time Reporter Data Change Work Schedule Change Comp Plan Enrollment Change </p><p>PERSONAL INFORMATION Biographical Details – Effective Date Prefix Suffix Person ID First Name Middle Name Last Name Address1 Address2 Address3 City State Postal County Eligible to Work in U.S. </p><p>Organizational Relationships - Org Relationship to Add Employee Contingent Worker Person of Interest </p><p>JOB INFORMATION Effective Date Action Work Location - Position Number Job Information - Job Code Reports To Department Department Entry Date Location</p><p>Payroll - Payroll Information Absence System options Absence Management (salaried) Other (Hourly) </p><p>Payroll for NA - Pay Group Employee Type H S BWH (hourly) SMS (salaried) (hourly) (salaried) *Absence Management System (complete this section for salaried employees only) Eligibility Group EXECELGGRP Pay Group : SEMIMNTHLY Setting: Use Pay Group Eligibility Eligibility Group TRADELGGRP Eligibility Group VSDPEDGGRP Pay Components - Comp Rate Compensation Pay Components - Rate Code Hourly Pay Rate (hourly employee) $______NAHRLY NAANNL Annual Salary (salaried employee) $______</p><p>1 of 2 Last Updated 11/30/2011 Employment Data – Organizational Assignment Data – Company Seniority Date </p><p>Benefits Program Participation – Benefits Program Participation Effective Date Benefit Program PSX</p><p>TIME REPORTER DATA Effective Date Workgroup Contract Hours – Hourly Contract Hours Contract Hours – Start Date Contract Hours – End Date</p><p>ASSIGN WORK SCHEDULE Effective Date Schedule ID (Typically the 1st day of the pay period)</p><p>COMP PLAN ENROLLMENT Effective Date Compensatory Time Off Plan COMP_LEAVE OT_LEAVE Status</p><p>For Use by the Employee Setup Administrator:</p><p>Entered By: ______Date: ______</p><p>2 of 2 Last Updated 11/30/2011</p>