Signature Scan

Signature Scan
Client Number (for PayPlus use only)
Client Name*
Print Signature Name*
DO NOT SIGN ONLINE

Please download form, sign, and upload in the box below.

Please sign your signature, as it should appear on your company's payroll checks, in the boxes below.

Signature should not go outside of box and must be written in BLACK INK.
Upload signatures here*

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