Self Service Demo

The PSG Employee Self Service Module is tailored to the exact specifications of each client, including text, fields, formats, colors and logos.

Sample Below:

Section One

My Information Prefix First Name Middle Initial Last Name Suffix Phone 1 Phone 2 Phone 3 Email

Date Of Birth: 3/24/1978 Original Hire Date: 2/1/2006 Address   City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Virgin Islands Washington West Virginia Wisconsin Wyoming Zip Country Are You Married Yes No

Primary Contact Is this person your Spouse?   Name Relation Home Phone ext. Office Phone ext. Cell Phone ext. Other Phone ext.

Secondary Contact Is this person your Spouse?   Name Relation Home Phone ext. Office Phone ext. Cell Phone ext. Other Phone ext.

Request Time Off Start Date Start Time AM PM End Date End Time AM PM

Time Available Vacation: 10 hours Sick: 5 hours Personal: 8 hours Other: 0 hours Requested Time Off Start Date End Date Approved January 6th 2009 January 15th 2009 No January 6th 2008 January 15th 2008 YES April 10th 2007 April 10th 2007 YES January 6th 2006 January 15th 2006 YES September 5th 2007 Semptember 6th 2007 YES

Request Time Off Medical Coverage Plan Name Type of Coverage Expiration Date Renew Date Cost 1 test test test test test test 5 June 14 2008 June 14 2008 49.71 Dental Coverage Plan Name Type of Coverage Expiration Date Renew Date Cost 1 test test test test test test 5 June 14 2008 June 14 2008 49.71 Life Coverage Plan Name Type of Coverage Expiration Date Renew Date Cost 1 test test test test test test 5 June 14 2008 June 14 2008 49.71 Dependant Life Coverage Plan Name Type of Coverage Expiration Date Renew Date Cost 1 test test test test test test 5 June 14 2008 June 14 2008 49.71

Beneficiary Name Birthdate Medical % Dental % Life % Dependent Life %   Add a row Delete a row

State Information State Exemptions (Total number of allowances you are claiming) State Marital Status Single Married   Additional State Tax (Additional amount of state taxes to be withheld) Federal Information Federal Exemptions (Total number of allowances you are claiming) Federal Marital Status Single Married   Additional Federal Tax (Additional amount of Federal taxes to be withheld)

PSG International - Human Resource Systems
PO BOX 498
Cornwall, NY 12518