Meridian HealthPeople Operations Document Store
Form W-4 Employee Withholding Certificate - Alex Rivera
| Document type | tax_withholding |
|---|---|
| Effective date | 2020-05-04 |
| Signed date | 2020-05-03 |
| Signer | Alex Rivera Employee |
| Form | Form W-4 Employee Withholding Certificate |
|---|---|
| Employee | Alex Rivera |
| Jurisdiction | US-CA |
| Payroll period | 2026-08 |
| Election status | Standard withholding, no extra amount |
Employee certification
The employee certified the withholding elections for payroll processing in the jurisdiction shown above.
Any later tax-election change after payroll cutoff requires change-control review before release.
Alex Rivera
Employee
Employee
Date
2020-05-03
2020-05-03
Control metadata: employee E-1009; generated record stored in DocStore documents table.