Labels:screenshot | black OCR: DATE: PERSONNEL RECORD SOCIAL SECURITY NUMBER: LAST NAME: FIRST NAME: BIRTH DATE: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE: In an Emergency catt: Retationship: Telephone: DEPARTMENT: MANAGER: COST CENTER CODE: DATE OF HIRE: CURRENT SALARY: AS OF: NEXT REVIEW DATE: REMARKS: Approved by: Department Head: Human resources:
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