Smalley Insurance Agency, Inc.
Smalley Insurance Agency, Inc.

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Employee List - pdf.pdf
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     Employee/Driver List

All Employees/Drivers must be reported to the insurance carrier.  This includes the Spouse and Children of the owner, wheither or not they drive a vehicle.  In addition all employees must be listed and any new employees must be added within 15 days of being hired.

 

Add/

Del

 

Name

 

DOB

 

DL #

 

ST

 

Job

 

F/Pt

Full/Bus

Use

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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© Michael Smalley