Vast Census Form Census Form Profile 1 Name * Name First First Last Last Company Name * Social Security Number Gender * Male Female Date of Birth * Original Date of Hire * Annual Compensation * $ Number of Hours Worked Annually * Date of Separation Reason for Separation Date of Rehire Employer Match $ Safe Harbor Contribution $ Roth Salary Deferral $ Employee Job Title/Role * Profile 2 Name Name First First Last Last Company Name * Social Security Number Gender Male Female Date of Birth Original Date of Hire Compensation $ Number of Hours Worked Annually Date of Separation Reason for Separation Date of Rehire Employer Match $ Safe Harbor Contribution $ Roth Salary Deferral $ Employee Job Title/Role Profile 3 Name Name First First Last Last Company Name * Social Security Number Gender Male Female Date of Birth Original Date of Hire Compensation $ Number of Hours Worked Annually Date of Separation Reason for Separation Date of Rehire Employer Match $ Safe Harbor Contribution $ Roth Salary Deferral $ Employee Job Title/Role Profile 4 Name Name First First Last Last Company Name * Social Security Number Gender Male Female Date of Birth Original Date of Hire Compensation $ Number of Hours Worked Annually Date of Separation Reason for Separation Date of Rehire Employer Match $ Safe Harbor Contribution $ Roth Salary Deferral $ Employee Job Title/Role Profile 5 Name Name First First Last Last Company Name * Social Security Number Gender Male Female Date of Birth Original Date of Hire Compensation $ Number of Hours Worked Annually Date of Separation Reason for Separation Date of Rehire Employer Match $ Safe Harbor Contribution $ Roth Salary Deferral $ Employee Job Title/Role If you are human, leave this field blank. Submit Δ
