01-02-2011 HireLyrics Form of Employment Agreement 13 Pages Required Completed Signed and Signed in Presence of Notary Public Mandatory to Retain Roxanne Grinage Legal Administrative Assistant Project Manager
01-02-2011 HireLyrics Form of Employment Agreement 13 Pages Required Completed Signed and Signed in Presence of Notary Public Mandatory to Retain Roxanne Grinage Legal Administrative Assistant Project Manager
1. HireLyrics Form Employment Agreement Retain
Roxanne Grinage Legal Administrative Assistant
Project Manager
www.HireLyrics.org www.HireLyrics.com
HIRELYRICS™ CLIENTS SERVICES AND WAYS TO PAY
O P T I O N 2
HOW EVERYONE GETS OPERATING COSTS PAID AND
MATRIX GROWTH EARNINGS WHEN HIREL YRICS™ ASSEMBLES &
MANAGES 3RD PARTY CONSULTANT PROFESSIONAL SERVICE TEAMS TO
ACCOMMODATE HIREL YRICS™ CLIENT ACCOUNT BY REFERRAL.
paid to each HireLyrics
paid to each HireLyricsProfessional
Assembled 3rd Party Assembled
3rdService Professional Member
Team
Litigation Referral Party
MAXIMUM TWO
Team Member MAXIMUM TWO
who has signed
Service
REFERRALS
referral
LET HIRELYRICS™ ASSEMBLE & REFERRALS
consultant who has signed
contract with
MANAGE A TEAM OF 3RD PARTY referral consultant contract with
Roxanne Grinage regarding
PROFESSIONAL SERVICE REFERRALS Roxanne HireLyrics Client Account
specific Grinage regarding
HireLyrics Client HireLyrics Service remitted every time there is
to enable Independent Creators and specific HireLyrics Client Split of
Distribution Revenue
Account
Marketing Careers Federal Crime Victim Claimants with
U.S. ECONOMY ENRICHING
remitted everyClient
HireLyrics time there is
Distribution Revenue Split of
Earnings.
Received
HireLyrics Client Received
Share Share MARKETING CAREERS ECOMMERCE
Contributions in Litigation Education Earnings.2.5%
Entertainment Technology Science
Medicine Healthcare Social Services, Reduction of
Stores eCommerce Grassroots Voter Clout Mobilization,
Family Societal and Environmental Expenses
Preservation Public Safety and Community paid to each HireLyrics Assembled
Development. 3rd Party Professional Service Team
Member MAXIMUM TWO
PROFESSIONAL SERVICES who
submit Client Account Statements,
paid to each HireLyrics Assembled
3rd billing and cost reports every
Party Professional Service
calendar month for duration of
PERTAINS TO EARNINGS RECEIVED BY A PERSON WHO HAS APPLIED TO BE AUTHORIZED AS A HIRELYRICS CLIENT BY Team Memberservices rendered to
professional MAXIMUM TWO
SUBMITTING MANDATORY IDENTITY DOCUMENTS AND FULLY EXECUTED NOTARIZED FORM OF HIRELYRICS AGREEMENT WHO PROFESSIONAL SERVICES
Roxanne Grinage. who
IS IN POSSESSION OF ROXANNE GRINAGE’S WITNESSED ACCEPTANCE AND AGREED SIGNATURE. EARNINGS SUBJECT TO submits Client Account
REVENUE SPLIT DISTRIBUTION ARE ANY EARNINGS RECEIVED FROM ANY MARKET BY A HIRELYRICS CLIENT AFTER THE Statements, billing and cost
EFFECTIVE DATE OF A HIRELYRICS FORM OF EMPLOYMENT AGREEMENT. FOR EXAMPLE, IF ROXANNE GRINAGE HAS reports every month due first
AUTHORIZED ADVANCEMENT OF COSTS OR PERFORMED ANY ADMINISTRATIVE DOCUMENT PRODUCTION SECRETARIAL OR week of month to Roxanne
PROJECT MANAGER FUNCTION ON THE HIRELYRICS CLIENT ACCOUNT AFTER EFFECTIVE DATE AND HIRELYRICS CLIENT Grinage for duration of
RECEIVES EARNINGS FROM ANY MARKET THEY WERE NOT RECEIVING EARNINGS FROM PRIOR TO BECOMING AUTHORIZED Employment Agreement.
AS A HIRELYRICS CLIENT INCLUDING RECOVERY OF ROYALTIES OR SETTLEMENT(S) FROM A LAWSUIT OR ANY CONTEST
WINNINGS, INHERITANCE(S), OR OTHER WINDFALL INJECTION OF FUNDING, DISTRIBUTION OF REVENUE SHARED IS
TRANSACTED WITHIN SEVENTY-TWO HOURS UNLESS CLIENT EXERCISES BUY OUT OPTION, PRESENTS TO ROXANNE GRINAGE
WRITTEN REVISIONS WHICH SHE ACKNOWELDGES APPROVAL BY SIGNING OR CLIENT IS TERMINATED FOR CAUSE.
Roxanne Grinage
HireLyrics Administrative Services
U.S. Citizens Public Docket Database
PO Box 22225
Philadelphia Pa 19136
Tel. (267) 444-0594
Fax. (215) 405-2939
email: birthwright@HireLyrics.com
Page 1 of 13 Page Mandatory Printed signed and signed in presence of Notary Public Required in HireLyrics 46 pages
Form of Employment Agreement to retain Roxanne Grinage Legal Administrative Assistant Project Manager Professional
Services.
3. □ I/We choose Option Two - HireLyrics Managed Marketing Careers ecommerce, Litigation
Referral Five Years Duration 75/15/10% Revenue Split per each and every Transaction/earnings
received from any market where earnings were not received prior to Effective Date of HireLyrics
Form of Employment Agreement.
HIRELYRICS™ CLIENTS SERVICES AND WAYS TO PAY
O P T I O N 2
HOW EVERYONE GETS OPERATING COSTS PAID AND
MATRIX GROWTH EARNINGS WHEN HIRELYRICS™ ASSEMBLES &
MANAGES 3RD PARTY CONSULTANT PROFESSIONAL SERVICE TEAMS TO
ACCOMMODATE HIRELYRICS™ CLIENT ACCOUNT BY REFERRAL.
paid to each HireLyrics
paid to each HireLyricsProfessional
Assembled 3rd Party Assembled
3rdService Professional Member
Team
Litigation Referral Party
MAXIMUM TWO REFERRALS
Team Member MAXIMUM TWO
who has signed
Service
referral
LET HIRELYRICS™ ASSEMBLE & REFERRALS
consultant who has signed
contract with
MANAGE A TEAM OF 3RD PARTY referral consultant contract with
Roxanne Grinage regarding
PROFESSIONAL SERVICE REFERRALS Roxanne HireLyrics Client Account
specific Grinage regarding
HireLyrics Client HireLyrics Service remitted every time there is
to enable Independent Creators and specific HireLyrics Client Split of
Distribution Revenue
Account
Marketing Careers Federal Crime Victim Claimants with
U.S. ECONOMY ENRICHING
remitted everyClient
HireLyrics time there is
Distribution Revenue Split of
Earnings.
Received
HireLyrics Client Received
Share Share MARKETING CAREERS ECOMMERCE
Contributions in Litigation Education Earnings.2.5%
Entertainment Technology Science
Medicine Healthcare Social Services, Reduction of
Stores eCommerce Grassroots Voter Clout Mobilization,
Family Societal and Environmental Expenses
Preservation Public Safety and Community paid to each HireLyrics Assembled
Development. 3rd Party Professional Service Team
Member MAXIMUM TWO
PROFESSIONAL SERVICES who
submit Client Account Assembled
paid to each HireLyrics Statements,
3 rd billing and cost reports every
Party Professional Service
calendar month for duration of
PERTAINS TO EARNINGS RECEIVED BY A PERSON WHO HAS APPLIED TO BE AUTHORIZED AS A HIRELYRICS CLIENT BY Team Memberservices rendered to
professional MAXIMUM TWO
SUBMITTING MANDATORY IDENTITY DOCUMENTS AND FULLY EXECUTED NOTARIZED FORM OF HIRELYRICS AGREEMENT WHO PROFESSIONAL SERVICES who
Roxanne Grinage.
IS IN POSSESSION OF ROXANNE GRINAGE’S WITNESSED ACCEPTANCE AND AGREED SIGNATURE. EARNINGS SUBJECT TO submits Client Account
REVENUE SPLIT DISTRIBUTION ARE ANY EARNINGS RECEIVED FROM ANY MARKET BY A HIRELYRICS CLIENT AFTER THE Statements, billing and cost
EFFECTIVE DATE OF A HIRELYRICS FORM OF EMPLOYMENT AGREEMENT. FOR EXAMPLE, IF ROXANNE GRINAGE HAS reports every month due first
AUTHORIZED ADVANCEMENT OF COSTS OR PERFORMED ANY ADMINISTRATIVE DOCUMENT PRODUCTION SECRETARIAL OR week of month to Roxanne
PROJECT MANAGER FUNCTION ON THE HIRELYRICS CLIENT ACCOUNT AFTER EFFECTIVE DATE AND HIRELYRICS CLIENT Grinage for duration of
RECEIVES EARNINGS FROM ANY MARKET THEY WERE NOT RECEIVING EARNINGS FROM PRIOR TO BECOMING AUTHORIZED Employment Agreement.
AS A HIRELYRICS CLIENT INCLUDING RECOVERY OF ROYALTIES OR SETTLEMENT(S) FROM A LAWSUIT OR ANY CONTEST
WINNINGS, INHERITANCE(S), OR OTHER WINDFALL INJECTION OF FUNDING, DISTRIBUTION OF REVENUE SHARED IS
TRANSACTED WITHIN SEVENTY-TWO HOURS UNLESS CLIENT EXERCISES BUY OUT OPTION, PRESENTS TO ROXANNE GRINAGE
WRITTEN REVISIONS WHICH SHE ACKNOWELDGES APPROVAL BY SIGNING OR CLIENT IS TERMINATED FOR CAUSE.
I am a Disadvantaged Creator who has greater vested interest than does any state agency
employee or billing contractor in my U.S. Economy enriching original work contributions
including my family’s persons, heritage, health, freedoms, education and U.S. economy
enriching careers contributions. I believe I am disadvantaged for fairly entering and competing
in those market places which would empower me to guard rights of ownership to my civil state
and U.S. Constitutional rights to due process so that I might preserve my civil rights to have
some say into how my contributions of heritage, health education careers and vested interest
consume disseminated transported and billed for throughout industry buyers and consumers of
Litigation, Education, Technology, Engineering, Military/Defense, Healthcare, Space Travel,
Architecture Engineering and Bioengineering, Science, Addiction Recovery, Community
Development, Entertainment, Media, Advertising, Commerce, Mentorship, Environmental
Production, Medicine, Healthcare, Business Start Up and Development, and Public Safety, etc.
Page 3 of 13 Page Mandatory Printed signed and signed in presence of Notary Public Required in HireLyrics 46 pages
Form of Employment Agreement to retain Roxanne Grinage Legal Administrative Assistant Project Manager Professional
Services.
4. FEDERAL CRIME VICTIM DISCLOSURE
Child’s Full Name Date of Birth given to me by God Child’s Date of Birth and last known SSN
You do not have to fill this in if you are not a CPS Corruption in
Government kidnap for profit victim.
Child’s Full Name Date of Birth given to me by God Child’s Date of Birth and last known SSN
Child’s Full Name Date of Birth given to me by God Child’s Date of Birth and last known SSN
Child’s Full Name Date of Birth given to me by God Child’s Date of Birth and last known SSN
For those claimants who died.
Estate of ____________________________________________________________________________
(Date of Birth and Date of Death) Send copy of Death Certificate and Names of Hospitals and Coroners.
Estate of ____________________________________________________________________________
(Date of Birth and Date of Death) Send copy of Death Certificate and Names of Hospitals and Coroners.
I certify I am a Federal Crime Victim* as defined by United States Department of Justice as set forth in 18 U.S.C. §
3771: * ACCORDING TO THE ACT, A VICTIM IS “A PERSON DIRECTLY AND PROXIMATELY HARMED AS A
RESULT OF THE COMMISSION OF A FEDERAL OFFENSE OR AN OFFENSE IN THE DISTRICT OF COLUMBIA. IN
THE CASE OF A CRIME VICTIM WHO IS UNDER 18 YEARS OF AGE, INCOMPETENT, INCAPACITATED, OR
DECEASED, THE LEGAL GUARDIANS OF THE CRIME VICTIM OR REPRESENTATIVES OF THE CRIME VICTIM’S
ESTATE, FAMILY MEMBERS, OR ANY OTHER PERSONS APPOINTED SUITABLE BY THE COURT, MAY ASSUME
THE CRIME VICTIM’S RIGHT UNDER THIS CHAPTER, BUT IN NO EVENT SHALL THE DEFENDANT BE NAMED
AS SUCH GUARDIAN OR REPRESENTATIVE.”
I, certify that I have acted lawfully responsibly and respectfully throughout all corruption poisoned processes and
venues and continue to act lawfully as a proud resident of United States, committed to leveraging individual
accountability forbidding abuse of immunity language in 1983 Civil Rights Act which is being used by criminally
behaving official corruption fraud civil rights assailants to perpetrate felony crimes upon working class student and
impoverished families to perpetrate a Child Slaughter U.S. Economy Fraud Court and Education Reform State of
Emergency in my state and our nation.
I, certify I have caused the foregoing to be transmitted by electronic mail or facsimile or postage prepaid first class
mail or by certified mail return receipt requested or by priority mail by authorizing Roxanne Grinage, HireLyrics
Administrative Services U.S. Citizens (controlled) Public Docket Database or formation pending Federal Crime
Victim Voters Safe Haven DHS Abused Runaways as indicated on various Certified Service Distribution Lists
managed and published by HireLyrics Administrative Services in satisfaction of my state’s Rules for Service, Civil
Rules of Procedure and as Crime Victim Compensation Claimant, Recovery Act Fraud and Waste Whistleblower
Transmittal, President Executive Office, United States Attorney General and Special Prosecutors, Legislative
Committees, Funding Source Decision Makers, Intervention Investigations and Audit Requests.
I am a resident of ______________________(state) and lawful guardian of above named real flesh and blood natural
persons for whom god saw fit to bless me with and in whom I have a greater vested interest in the heritage health
education religious freedoms whereabouts future U.S. economy enriching careers contributions than does any
corporate entity, state agency employees and contractors or other professional practitioner.
_____________________________________________________ Date signed:___________________________
Signature Federal Crime Victim Witness
_____________________________________________________
Print Name Federal Crime Victim Witness
Page 4 of 13 Page Mandatory Printed signed and signed in presence of Notary Public Required in HireLyrics 46 pages
Form of Employment Agreement to retain Roxanne Grinage Legal Administrative Assistant Project Manager Professional
Services.
5. Form COL Violation Warning Denial of Rights Under Color of Law
Violation Warning—18 U.S.C. §242; 18 U.S.C. §245; 42 U.S.C. §1983
I certify that the forgoing information stated here is true and correct.
Legal Notice and Warning - Federal law provides that it is a crime to violate the Rights of a
citizen under the color-of-law. You can be arrested for this crime and you can also be held
personally liable for civil damages.
Attempting to cause a person to do something by telling that person that such action is required by law,
when it is not required by law, may be a felony.
18 USC §242 provides that whoever, under color of any law, statute, ordinance, regulation, or custom,
willfully subjects any person in any State, Territory, Commonwealth, Possession, or District to the
deprivation of any rights, privileges, or immunities secured or protected by the Constitution or laws of the
United States shall be fined under this title or imprisoned not more than one year, or both.
18 USC §245 provided that Whoever, whether or not acting under color of law, intimidates or interferes
with any person from participating in or enjoying any benefit, service, privilege, program, facility, or activity
provided or administered by the United States; [or] applying for or enjoying employment, or any perquisite
thereof, by any agency of the United States; shall be fined under this title, or imprisoned not more than
one year, or both.
42 USC §1983 provides that every person who, under color of any statute, ordinance, regulation, custom,
or usage, of any State or Territory or the District of Columbia, subjects, or causes to be subjected, any
citizen of the United States or other person within the jurisdiction thereof to the deprivation of any rights,
privileges, or immunities secured by the Constitution and laws, shall be liable to the party injured in an
action at law, suit in equity, or other proper proceeding for redress.
Warning, you may be in violation of Federal Law and persisting with your demand may lead to your arrest
and/or civil damages! Also understand that the law provides that you can be held personally responsible
and liable, as well as your company or agency. You are advised to CEASE AND DESIST with
your demand and to seek personal legal counsel if you do not understand the law.
Notice of Service: I CERTIFY I AUTHORIZED HIRELYRICS ADMINISTRATIVE SERVICES LEGAL ADMINISTRATIVE
ASSISTANTS MANAGED BY ROXANNE GRINAGE TO CERTIFY SERVICE OF THIS NOTICE IN ACCORDANCE WITH
EVIDENCE GATHERED DEPOSITIONS AND EXPERT WITNESS TESTIMONY VERIFIED.
_________________________________________________________________________________
Sign and Print Your Name with Full Address including city, state and postal zip code
[SIGN AND PUT YOUR ADDRESS ABOVE AND DO NOT WRITE BELOW THIS LINE]
I, certify that I, Roxanne Grinage, HireLyrics Administrative Services, U.S. Citizens Public Docket Database
caused this Form COL Legal Notice and Warning Violation of Rights Under Color of Law to be served by
electronic, facsimile, or first class mail postage prepaid to attached certified service distribution named
recipients at their official addresses of public record. Returned Affidavit Proof of Service is Null and Void if not
presented with attached Roxanne Grinage HireLyrics Administrative Service verified Certified Service
Distribution List.
Date:
Roxanne Grinage HireLyrics Administrative Services U.S. Citizens Public Docket Database
Page 5 of 13 Page Mandatory Printed signed and signed in presence of Notary Public Required in HireLyrics 46 pages
Form of Employment Agreement to retain Roxanne Grinage Legal Administrative Assistant Project Manager Professional
Services.
6. AUTHORIZATION FOR RELEASE OF INFORMATION
Medical Records, Department of Health and Human Services, All Registries, Hospital, Healthcare Providers, Social Worker, Case
Workers, Police Reports, Detective Case Notes, Investigations and Findings, Attorney Client Files about me and or my family who is
shown to be injured by way of Official Corruption Fraud Civil Rights Violations.
Name:___________________________________________________________________
Telephone Number for Verification: ____________________________________________
SSN:___________________________ DOB:____________ Email: ______________________
Other Names Under Which Records Might Be Filed:
______________________________________________________________________________
Person Court Agency Organization or Professional Practitioner Releasing the Information:
X Department of Health and Human Services, Commissioner’s office
_________________________________________________________________Name and Address
X Child Abuse Registry __ Other Registry __________________________
X DHS or DHSS CPS or CWS OCS CYS contractor residential facility name and address
___________________________________________________________
X Hospital or Physician Medical Records maintained by Records Custodian(s) at
_____________________________________________________________
(Healthcare provider name and address)
_____________________________________________________________
(Healthcare provider name and address)
X CPS DHS OCS CYS CWS Social Workers Case Workers Foster Adoption Evaluator Employees or Contractors known
to have records which impact litigation, investigations and audits concerning personal injuries suffered by my family.
_____________________________________________________________________________
Name and Address of Office they work(ed) in at the time records were created.
____________________________________________________________________________
Name and Address of Office they work(ed) in at the time records were created.
X A Lawyer that represents me or did represent me at one time Name Address Telephone and Fax if
known______________________________________________________________________
X A Lawyer that represents me or did represent me at one time Name Address Telephone and Fax if
known______________________________________________________________________
Description of Information to Be Released. (If substance abuse information is to be released from a federally assisted substance
abuse treatment center, than this information must be included in the
description).___________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
The purpose of the release of this information is: litigation discovery, crime victim compensation claims processes
I hereby authorize the use of disclosure of my health care and/or client files and/or other information as described above to,
ROXANNE GRINAGE, HIRELRYICS ADMINISTRATIVE SERVICES, PO BOX 22225, PHILADELPHIA, PA, 19136, FAX: 215-405-
2939, TOLL FREE TEL (888) 589-1110, TELEPHONE 215-395-6985, EMAIL ROXANNEGRINAGE@YAHOO.COM WEBSITE
CONTACT FORMS WWW.HIRELYRICS.ORG. This authorization remains effective for as long as I am a HireLyrics Administrative
Services client for whom Roxanne Grinage provides records management among other legal executive assistant professional
services on behalf of me and my family.
Signature
Printed Name
Mailing Address including city state and zip code
STATE OF ______________ )
COUNTY OR DISTRICT )
________________________ )
Subscribed and sworn to or affirmed before me at (city), (state) On (date).
(NOTARY SEAL)
Clerk of Court, Notary Public or other person authorized to administer oaths.
______________________________________________________________________
My commission expires:
Page 6 of 13 Page Mandatory Printed signed and signed in presence of Notary Public Required in HireLyrics 46 pages
Form of Employment Agreement to retain Roxanne Grinage Legal Administrative Assistant Project Manager Professional
Services.
7. REVOCATION OF AUTHORIZATION FOR RELEASE OF INFORMATION
NOTICE IS HEREBY GIVEN THAT THE BELOW CHECKED AGENCY, ORGANIZATION OR
PROFESSIONAL PRACTITIONER MAY HAVE BECOME A CONFLICT OF INTEREST PARTY IN
PENDING OR ONGOING LITIGATION. ANY RELEASES SIGNED BY UNDERSIGNED EITHER
WILLINGLY OR UNDER DURESS DURING ANY SPAN OF PERIOD OF TIME ARE HEREBY
REVOKED.
Name:___________________________________________________________________
Telephone Number for Verification: ____________________________________________
SSN:___________________________ DOB:____________ Email: ______________________
Other Names Under Which Records Might Be Filed:
_______________________________________________________________________________________________________
Person Court Agency Organization or Professional Practitioner Releasing the Information:
X Department of Health and Human Services, Commissioner’s office
_________________________________________________________________Name and Address
X Child Abuse Registry __ Other Registry __________________________
X DHS or DHSS CPS or CWS OCS CYS contractor residential facility name and address
___________________________________________________________
X Hospital or Physician Medical Records maintained by Records Custodian(s) at
_____________________________________________________________
(Healthcare provider name and address)
_____________________________________________________________
(Healthcare provider name and address)
X CPS DHS OCS CYS CWS Social Workers Case Workers Foster Adoption Evaluator Employees or Contractors known
to have records which impact litigation, investigations and audits concerning personal injuries suffered by my family.
_____________________________________________________________________________
Name and Address of Office they work(ed) in at the time records were created.
____________________________________________________________________________
Name and Address of Office they work(ed) in at the time records were created.
X A Lawyer that represents me or did represent me at one time Name Address Telephone and Fax if
known______________________________________________________________________
X A Lawyer that represents me or did represent me at one time Name Address Telephone and Fax if
known______________________________________________________________________
Description of Information to Be Released or for which Authorization to Release is Revoked. (If substance abuse information is to
be released from a federally assisted substance abuse treatment center, than this information must be included in the
description).___________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
THE PURPOSE OF THE REVOCATION OF AUTHORIZATION FOR RELEASE OF INFORMATION: litigation discovery, crime
victim compensation claims processes
All inquiries pertaining to records about my family’s health, heritage, identity, custody, finances, healthcare, etc. are to be directed to
the Legal Administration Services Assistant service we have hired for this purpose. I hereby authorize the use of disclosure of my
health care and/or client files and/or other information as described above to, ROXANNE GRINAGE, HIRELRYICS
ADMINISTRATIVE SERVICES, PO BOX 22225, PHILADELPHIA, PA, 19136, FAX: 215-405-2939, TOLL FREE TEL (888) 589-
1110, TELEPHONE 215-395-6985, EMAIL ROXANNEGRINAGE@YAHOO.COM WEBSITE CONTACT FORMS
WWW.HIRELYRICS.ORG. This authorization and/or revocation of authorization for release of information remains effective for as
long as I am a HireLyrics Administrative Services client for whom Roxanne Grinage provides records management among other
legal executive assistant professional services on behalf of me and my family.
Signature
Printed Name
Mailing Address including city state and zip code
STATE OF ______________ )
COUNTY OR DISTRICT )
________________________ )
Subscribed and sworn to or affirmed before me at (city), (state) On (date).
(NOTARY SEAL)
Clerk of Court, Notary Public or other person authorized to administer oaths.
______________________________________________________________________
My commission expires:
Page 7 of 13 Page Mandatory Printed signed and signed in presence of Notary Public Required in HireLyrics 46 pages
Form of Employment Agreement to retain Roxanne Grinage Legal Administrative Assistant Project Manager Professional
Services.
8. HireLyrics Client Data Sheet
PRINT FILL-IN WITH A RESPONSE EVERY SINGLE BLANK MANDATORY RETURNED with Notarized
Signed Pages and Photocopies of Identity Documents.
HireLyrics Client’s choice of Authorized Representative does not have to provide the information on
this Client Data Sheet.
Write Your Full Name the way it appears on your Birth Certificate
Write your name exactly as it appears on your social security card
Write your name exactly as it appears on your State Identification Card or Driver License.
Write your name exactly as it appears on your Student I.D. Card
Write your name exactly as it appears on any “benefit” payments you receive Pension Welfare SSI SSD.
Write you name exactly as it appears on pay stubs from jobs you worked.
Write your name exactly the way it appears on income taxes you filed or on IRS Notices.
Write ALSO KNOWN AS VERSIONS OF YOUR NAME.
Write your social security number, Bar Attorney ID. PTIN or CAF or Federal State or Criminal Justice or Labor
Union Issued Identifying Numbers.
PLEASE PROVIDE COPIES WITHIN 72 HOURS OF SUBMITTING THIS FORM OF HIRELYRICS EMPLOYMENT
AGREEENT OF THE FOLLOWING IDENTITY DOCUMENTS (Mandatory Returned within 72 Hours)
PROOF OF MARRIAGE IF A SPOUSE SIGNS WITH YOU. Okay to show proof living at same address utility bill,
joint bank account, affidavits, family reunion rosters and family trees, baptismal records, dated greeting cards
or correspondence addressed to both of you whether you were married in a civil ceremony or not.
DIVORCE PETITIONS SEPARATION AGREEMENTS OR DECREES if you don’t want your spouse to show up and
claim rights to your HireLyrics Client Account that you don’t want them to have according to your state’s
laws. Your written Affidavit of Truth stating date you and your spouse union is dissolved is acceptable
testimony.
A copy of a tax return you filed and/or any recent lien or penalty notices you are receiving from IRS.
Eviction or Foreclosure Notices.
Child Support, Student Loan, Welfare, Food Stamp Lien or IRS or State Tax Penalties Lien Notices.
Notices Letters Petitions Motions or Decisions in Domestic Relations Matters where a relative no matter what
age was taken against your will by a State Court with the participation of a State Agency or one or any
combination of State Agency contractors, Hospital, Nursing Home, Foster Home, Group Home, etc., if you have
discussed with Roxanne Grinage.
A List of Hospitals and Doctors where you know records exist that prove your children disabled or elderly
loved ones were over medicated, neglected, abused or otherwise injured by malpractice neglect or records
mis-management, if you have discussed with Roxanne Grinage.
Page 8 of 13 Page Mandatory Printed signed and signed in presence of Notary Public Required in HireLyrics 46 pages
Form of Employment Agreement to retain Roxanne Grinage Legal Administrative Assistant Project Manager Professional
Services.
9. UNCLAIMED PROPERTY
(Print Complete as much as you know Mandatory Completed and Returned.)
Write your mothers full name and your father’s full name and your grandparents on your mother’s side and
your grandparents on your father’s side full name. State Treasurers Unclaimed Property claims rules require
you prove relationship to claim unclaimed property of a relative who does not have a surviving spouse. See
http://missingmoney.com
___________________________________________ ___________________________________________
Your Mother’s full name Deceased?____ Your Father’s Full Name Deceased? ____
___________________________________________ ___________________________________________
Your Mother’s mother’s full name Deceased?____ Your Father’s Full Name Deceased? _____
__________________________________________ ____________________________________________
Your Mother’s father’s full name Deceased?___ Your Father’s Father’s Full Name Deceased?__
HireLyrics Client Authorized Representative
(Mandatory Returned Completed)
I APPOINT THE FOLLOWING AUTHORIZED REPRESENTATIVE TO SPEAK TO ROXANNE GRINAGE OR A HIRELYRICS
ADMINISTRATIVE SERVICES STAFF MEMBER ABOUT MY HIRELYRICS CLIENT ACCOUNT ON MY BEHALF IN THE EVENT
I AM UNABLE OR UNAVAILABLE TO SPEAK FOR MYSELF.
Authorized Representative Full Name.
Address including town, city, State and zip code
Every telephone number to reach Authorized Representative
_____________________________________________________________________________________________
Every email address or Facebook I.D. for your authorized representative
____________________________________________________________________________________________
What is your relationship? Why do you trust them to act as your Representative Authorized to interact with
Roxanne Grinage or HireLyrics staff regarding your HireLyrics Administrative Services Account? Long time
friend, heir or next of kin, served in military together or had some other shared life experience which birthed
camaraderie.
PHOTOCOPY PROOF OF IDENTITY DOCUMENTS ONTO SEPARATE PAGE (MANDATORY RETURNED)
STATE ISSUED PHOTO I.D. CARD OR DRIVER’S LICENSE.
STUDENT I.D. CARD
A clear readable copy of all SOCIAL SECURITY CARDS ever issued to you.
BIRTH CERTIFICATE.
VOTER REGISTRATION CARD OR CHECK HERE IF YOU ARE NOT REGISTERED TO VOTE ______
MEDICAL INSURANCE or LABOR UNION MEMBERSHIP CARDS.
Page 9 of 13 Page Mandatory Printed signed and signed in presence of Notary Public Required in HireLyrics 46 pages
Form of Employment Agreement to retain Roxanne Grinage Legal Administrative Assistant Project Manager Professional
Services.
10. AGREEMENT IS MADE THIS DAY BETWEEN
I, (full name including middle name or initial) ________________________________________________________,
____________________________________________________________________________________________
mailing address with town, city, state and zip code
____________________________________________________________________________________________,
telephone numbers
_______________________________________________________________, email address, website face book id
______________________________________________________________________ having read understand and
agree.
and/or
[One or Two People with the same purpose can enter into this HireLyrics Form of Employment Agreement
I, (full name including middle name or initial) ________________________________________________________,
____________________________________________________________________________________________
mailing address with town, city, state and zip code
____________________________________________________________________________________________,
telephone numbers
_______________________________________________________________, email address, website face book id
______________________________________________________________________ having read understand and
agree).
and
Roxanne Grinage dba HireLyrics Administrative Services having a U.S.
Postal Service Business registered Post Office Box 22225, Philadelphia Pa 19136; Pennsylvania Department
of State Corporation Bureau assigned 04/27/2001 Business Entity Filing Number 3002198 Microfilm
Number: 2001033 and a U.S. Department of Treasury Internal Revenue Service 07/18/2000 assigned FEIN
Tax I.D. Number shown on statements and invoices; and Roxanne Grinage and HireLyrics.org dba U.S. Citizens
Public Docket Database having a Pennsylvania Department of State Corporation Bureau assigned
02/16/2010 Business Entity Filing Number 3935315, and HireLyrics™ having a Commonwealth of
Pennsylvania Department of Revenue Bureau of Business Trust Fund Taxes Registration Division assigned
03/02/2004 Business Tax Acct I.D.: shown on sales receipts and Certificate of Registration Wholesaler
Certificate posted where event and convention bulk order promotional items are produced and shipped; and
Roxanne Grinage Manager of HireLyrics having earned Pennsylvania Department of General Services Bureau
of Minority and Women Business Enterprise assigned 08/26/2005 Certificate No. 070831Hirelyrics
Pennsylvania Department of General Services, Minority Women Business Enterprise Certified Expert 2003-
2007 for “presenting documentation” that HireLyrics is “providing products and/or services” in nine
administrative support practice areas: PADGS Code 96159 Legal Services: Evidence Gathering, Depositions
and Expert Witness Testimony; PADGS Code 91885 Personnel Employment Consulting (Human Resources);
PADGS Code 95238 Employee Assistance Programs; PADGS Code 95239 Employment Generating Activities;
PADGS Code 94682 Tax Services Including Tax Advisory Services; PADGS Code 96225 Copywriting Services;
PADGS Code 95238 Employee Development Consulting; PADGS Code 96220 Career Consulting; PADGS Code
91725 Image Consulting; and Roxanne Grinage was FBI approved (now expired) Top Security Clearance
while working for Honeywell Information Systems McLean, Virginia, and Roxanne Grinage’s Internal Revenue
Service PTIN CAF numbers assigned fingerprints taken and on record at Internal Revenue Service Center,
(Roosevelt Blvd.), Philadelphia Pa 19255,
AGREE IN GOOD-FAITH AND GOOD-WILL to enter into a lawful business relationship
hereafter referred to as HireLyrics Form of Employment Agreement Option 1 Pro Se Document
Production or Option 2 Includes Pro Se Document Production plus Marketing Careers
ecommerce and Litigation Referral HireLyrics Managed Referral Team Percentage Share
Page 10 of 13 Page Mandatory Printed signed and signed in presence of Notary Public Required in HireLyrics 46 pages
Form of Employment Agreement to retain Roxanne Grinage Legal Administrative Assistant Project Manager Professional
Services.
11. 75/25/10 per transaction complies with U.S. states statutes and Internal Revenue Service Business
Registration and Tax Reporting Laws and is a further demonstration of Wharton Small Business
Administration 2001 nominated Philadelphia 100, HireLyrics invention in business method practice model
simultaneously coordinated four divisions: Marketing Careers Label Stores, five departments: Overview &
Rationale (The Gate Keeper), Client Accounts (HireLyrics Gear Package), Claims Intake (HireLyrics Evidence
Package), Tax Prep & Tax Amendments, and Operations (Security Facilities Personnel Equipment Event
Technology).
HireLyrics Form of Employment Agreement Option 1 Pro Se Document Production or Option 2
Includes Pro Se Document Production plus Marketing Careers ecommerce and Litigation Referral
HireLyrics Managed Referral Team Percentage Share 75/25/10 per transaction is an administrative
solutions tool developed by Roxanne Grinage to enable fair access to retain Legal Administrative Assistant,
Public Relations and Project Manager consultant professional services for a financially devastated population
of claimants whose 1,078 and growing Federal Crime Victims are verified by Roxanne Grinage’s performance
of legal administrative claims intake assessment identify similarly situated classes of claims, spanning every
profession, industry, economy, U.S. jurisdictions measurable demographics:
Federal Crime Victim Voters created by acts of Official Corruption Fraud Civil Rights
Violations
Independent Creators of U.S. Economy Enriching Careers Contributions
American Families Self Employed Small Business Owners or other Malpractice Pro Se
Claimant.
HireLyrics Form of Employment Agreement Option 1 Pro Se Document Production or Option 2
Includes Pro Se Document Production plus Marketing Careers ecommerce and Litigation Referral
HireLyrics Managed Referral Team Percentage Share 75/25/10 per transaction COMPLIES WITH
NEW FEDERAL LAWS AND CONGRESSIONAL ACTS.
(1) The Federal Courts Jurisdiction and Venue Clarification Act of 2011, H. R. 394, P.L 112-63 (the
"Act") (December 7, 2011), contains significant changes to the removal statute, 28 U.S.C. § 1441, and will
affect nearly every new case filed or removed next year invoking the courts’ diversity jurisdiction. The Act,
and its numerous changes, take effect on January 6, 2012. The law will apply to all new state and federal
lawsuits commenced on or after that date. Congress addressed several areas of statutory confusion and
disagreement among various courts. The Act makes a variety of other changes to supplemental jurisdiction
involving unrelated state claims, suits between aliens, and residency of non-resident aliens and foreign
corporations for venue purposes. Judges, federal practitioners and students of civil procedure will also note
the law’s reorganization of the jurisdictional statutes found in Title 28 of the U.S. Code, which have been
graciously simplified for clarity. See Appendix A.
(2) The National Defense Authorization Act for Fiscal Year 2012 as reported to senate including Feinstein
Amendment Section. 1031. (U.S. Citizens can be imprisoned without trial) ─ An original bill to authorize
appropriations for fiscal year 2012 for military activities of the Department of Defense, for military
construction, and for defense activities of the Department of Energy, to prescribe military personnel
strengths for such fiscal year, and for other purposes, as introduced and AFFIRMATION OF AUTHORITY OF
THE ARMED FORCES OF THE UNITED STATES TO DETAIN COVERED PERSONS PURSUANT TO THE
AUTHORIZATION FOR USE OF MILITARY FORCE.
Roxanne Grinage Quality of Life Impacts for Americans Commentary: “Detention under the law of war
without trial until the end of the hostilities authorized by the Authorization for Use of Military Force
Page 11 of 13 Page Mandatory Printed signed and signed in presence of Notary Public Required in HireLyrics 46 pages
Form of Employment Agreement to retain Roxanne Grinage Legal Administrative Assistant Project Manager Professional
Services.
12. optimizes risk of records mismanagement, disallows measurement of individual accountability such that
rampant abuses are likely to threaten survival of America as a populated sovereign nation and certainly
thrust a former world power into the dark ages of despotism.” – respectfully Roxanne Grinage. See Appendix
B. NDAA Feinstein Amendment Section. 1031
http://en.wikipedia.org/wiki/National_Defense_Authorization_Act and 926 pages
http://www.gpo.gov/fdsys/pkg/BILLS-112s1867es/pdf/BILLS-112s1867es.pdf
I UNDERSTAND IF I AM A PROFESSIONAL SERVICE DESIRING REFERRAL OR OUTSOURCE OF HIRELYRICS CLIENTS BY WAY OF
OPTION 2 WITHIN THIS HIRELYRICS FORM OF CONTRACT THAT THIS FORM OF EMPLOYMENT AGREEMENT DOES NOT APPLY
TO ME BUT RATHER ROXANNE GRINAGE IS WAITING FOR ME TO INDICATE MY INTEREST IN RECEIVING HIRELYRICS CLIENT
REFERRALS BY ME SUGGESTING MY FORM OF CONSULTANT AGREEMENT OR ASKING ROXANNE GRINAGE TO PROPOSE
REFERRAL BY WRITTEN CONSULTANT AGREEMENT SO THAT I MIGHT RECEIVE REFERRAL FEES AND REDUCTION OF EXPENSES
WITHIN OPTION 2 WAYS TO PAY HIRELYRICS FORM OF EMPLOYMENT AGREEMENT AS A THIRD PARTY PROFESSIONAL
SERVICES MEMBERS OF A HIRELYRICS ASSEMBLED TEAM OF PROFESSIONAL SUPPORT SERVICES MANAGED BY ROXANNE
GRINAGE.
If I am applying to be authorized as a HireLyrics Client Ways To Pay Option 2 in HireLyrics Form of
Employment Agreement, I swear and affirm that my ability to pay Roxanne Grinage in accordance with
Deferred Compensation Employment Agreement Percentage Share Revenue Split Terms is not subject to the
review or approval of any Board of Directors, Law Firm, Investors, Shareholder Interests or other Corporate
Entity, partner or associate.
I understand by returning signed mandatory pages 1 through 12 include, Federal Crime Victim Disclosure,
Form COL Legal Notice and Warning Violation of Rights Under Color of Law, Unclaimed Property, HireLyrics
Client Authorized Representative, HireLyrics Client Data Sheet and mandatory completed pages signed in
front of a Notary Public, Authorization Release of Information, Revocation Authorization Release of
Information; and Execution Signature Page, indicating that I am expressing my application to Roxanne
Grinage to be authorized accepted as a HireLyrics Client and Roxanne Grinage is obligated to perform
Professional Services on my behalf unless I have made deposit payment if I have chosen Option 1 Pro Se
Document Production as forms and reporting services clearly listed in Option 1 Ways To Pay HireLyrics Form
of Employment Agreement, or Roxanne Grinage has proposed to me marketing initiatives relative to
Marketing Careers ecommerce and Litigation Referral enabled by a HireLyrics Assembled Team or Third
Party Professionals in accordance with percentage share revenue split per each and every transaction as
described and depicted clearly in Option 2 Ways To Pay HireLyrics Form of Employment Agreement. I have
check off below what I want Roxanne Grinage to consider my application to HireLyrics Administrative
Services for Professional Services below.
□ I/We choose Option One Pro Se Document Production - Roxanne Grinage is not a lawyer.
Roxanne Grinage is not an attorney and cannot represent any person in a court process. Roxanne
Grinage can only provide court and claims processes compliant pro se document and exhibit
production that the independent creator, federal crime victim of official corruption fraud civil rights
American victim who becomes a HireLyrics Client within a form of HireLyrics Professional Services
Agreement that the American claimant files on their own behalf pro se. Roxanne Grinage commits to
monitoring court calendar, performing docket analysis and seeking the assistance of respected third
party professional services that could include lawyers and law firms but are more likely to be veteran
experienced legal secretaries, paralegals, lawsuit coordinators, private investigators, retired or off
duty police officers, security firms and any combination of independent creators HireLyrics clients
and collaborators spanning every demographic currently known to HireLyrics Standard Access to
Legal Administrative Assistant Services regardless of who you know or what you have. Or
□ I/We choose Option Two - HireLyrics Managed Marketing Careers ecommerce, Litigation
Referral Five Years Duration 75/15/10% Revenue Split per each and every Transaction/earnings
received from any market where earnings were not received prior to Effective Date of HireLyrics
Form of Employment Agreement.
I am in the process of getting photocopies of mandatory/required identity documents listed in prior
pages returned to Roxanne Grinage pending your getting to work on my HireLyrics Client Account.
Page 12 of 13 Page Mandatory Printed signed and signed in presence of Notary Public Required in HireLyrics 46 pages
Form of Employment Agreement to retain Roxanne Grinage Legal Administrative Assistant Project Manager Professional
Services.
13. IN WITNESS WHEREOF, the parties by their OWN HAND authorized representatives have executed this
Employment Agreement as of the Effective Date a total of thirteen pages precede this EXECUTION
SIGNATURE PAGE REQUIRED SIGNED IN PRESENCE OF NOTARY.
HireLyrics Disclosures and Disclaimers, Terms and Conditions including Termination for Cause, Buy Out
Options, Duration, Confidentiality and Privacy Disclosures and Table of Contents are Pages fourteen through
forty-six of HireLyrics Form of Employment Agreement are available for free download and printing at any
time at www.HireLyrics.org/roxannegrinageresume.html. But, only Pages 1 through 13 are mandatory fully
completed, signed and three pages must be signed in presence of notary public.
Signature Signature
Printed Name Printed Name
Mailing Address including city state and zip code Mailing Address including city state and zip code
STATE OF ______________ )
COUNTY OR DISTRICT )
________________________ )
Subscribed and sworn to or affirmed before me at (city), (state) On (date).
(NOTARY SEAL)
Clerk of Court, Notary Public or other person authorized to administer oaths.
______________________________________________________________________
My commission expires:
[This Execution Signature Page is last of 13 pages that are mandatory completed and
returned by fax and followed up with mailing original ink signed in presence of a notary
with listed required identity and court documents listed throughout these pages.]
Roxanne Grinage
HireLyrics Administrative Services
PO Box 22225
Philadelphia Pa 19136
(267) 444-0594
Fax: (215) 405-2939
email: Birthwright@HireLyrics.com
www.HireLyrics.org
Page 13 of 13 Page Mandatory Printed signed and signed in presence of Notary Public Required in HireLyrics 46 pages
Form of Employment Agreement to retain Roxanne Grinage Legal Administrative Assistant Project Manager Professional
Services.