FormNew employee check list for Matthew Casterbook, Portland branch, 11/30/7330 November 19731 page
fbi_formLegibility: medium

Part 96, page 21

DB Cooper-42919

Document date 30 November 1973

Open in FBI Vault (Part 96, page 21 of the PDF)

FBI 164-81, Vault Part 96 p. 21 (DB Cooper-42919), Form, dated 30 Nov 1973 — cooper.theunsolved.net/parts/Cooper-Part-96/pages/21

Transcript

The scan is the source; the transcript is machine-generated from it.

NEW EMPLOYEE CHECK LIST

Name: Matthew Casterbook Branch: Portland Dated Started Work: 11-30-73 Rate of Pay: $3.50 Hrl. $ ___ Sal. Variable (Semi-Mo) $ ___ Sal. Fixed (Semi-Mo) Check to be sent home? ___ Hold at Branch? ✓ Other instructions? ___ Subject to review? 30 days Accident Insurance Card Completed ___ Group Insurance Explained? ___ Card Completed? [guess: yes] Declined? ___ W-4 Completed ✓ Time Card Explained? ✓ Travel Pay Explained? ✓ Uniform Deduction Explained? ✓ [guess: No] Competition Agreement Signed? ✓ Given Employee R[redacted]

Date Hired? 11-30-73 Hired by [redacted] (This form must be completed and forwarded along with [redacted] cards on all new employees to home office.) BP71 10-72

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DB Cooper-42919

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b6 b7C

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4, & insurance