Rehire Re-Introduction to JAX This form is used to ensure employee's information on file is up to date and correct.Please enable JavaScript in your browser to complete this form.Employee Name *FirstLastEmergency Contact *FirstLastRelationship *Emergency Contact Phone NumberUniform Requests (S, M, L, XL, 2XL, 3XL) *Mailing Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePersonal Email Address *Phone Number *Have you switched banks or accounts since the last time you worked for JAX? *YesNoIf yes, Human Resources will contact you about updating your bank information.Submit