Payroll Form

1

Name* This field is required.

First Name

Last Name

Press
Enter

2

Company Name

Legal Name

DBA

Press
Enter

3

Entity TypeTax Filing Entity Type

Press
Enter

4

Payroll FrequencyHow often do you process payroll for your employees

Press
Enter

5

EIN ProofSS4 or Form 941 within 2 years that states the legal business name, address, and EIN.

Drag and drop files here

Select files to upload

Browse Files

Press
Enter

6

State Withholding & UnemploymentPlease upload most recent state payroll forms for all states.

Drag and drop files here

Select files to upload

Browse Files

Press
Enter

7

Company Voided CheckPlease upload a company bank check, must have business name printed on check.

Drag and drop files here

Select files to upload

Browse Files

Press
Enter

8

Number of EmployeesHow many employee will you be adding to payroll.

Up to 15 employees per form

Press
Enter

9

Employee InformationPlease enter this information for each employee

First Name, Last Name

Date of Birth

Email Address

Pay Type

Hourly rate or salary per pay period

Payment Method

Bank Routing Number

Bank Account Number

Press
Enter

10

Employee InformationPlease enter this information for each employee

First Name, Last Name

Date of Birth

Email Address

Pay Type

Hourly rate or salary per pay period

Payment Method

Bank Routing Number

Bank Account Number

Press
Enter

11

Employee InformationPlease enter this information for each employee

First Name, Last Name

Date of Birth

Email Address

Pay Type

Hourly rate or salary per pay period

Payment Method

Bank Routing Number

Bank Account Number

Press
Enter

12

Employee InformationPlease enter this information for each employee

First Name, Last Name

Date of Birth

Email Address

Pay Type

Hourly rate or salary per pay period

Payment Method

Bank Routing Number

Bank Account Number

Press
Enter

13

Employee InformationPlease enter this information for each employee

First Name, Last Name

Date of Birth

Email Address

Pay Type

Hourly rate or salary per pay period

Payment Method

Bank Routing Number

Bank Account Number

Press
Enter

14

Employee InformationPlease enter this information for each employee

First Name, Last Name

Date of Birth

Email Address

Pay Type

Hourly rate or salary per pay period

Payment Method

Bank Routing Number

Bank Account Number

Press
Enter

15

Employee InformationPlease enter this information for each employee

First Name, Last Name

Date of Birth

Email Address

Pay Type

Hourly rate or salary per pay period

Payment Method

Bank Routing Number

Bank Account Number

Press
Enter

16

Employee InformationPlease enter this information for each employee

First Name, Last Name

Date of Birth

Email Address

Pay Type

Hourly rate or salary per pay period

Payment Method

Bank Routing Number

Bank Account Number

Press
Enter

17

Employee InformationPlease enter this information for each employee

First Name, Last Name

Date of Birth

Email Address

Pay Type

Hourly rate or salary per pay period

Payment Method

Bank Routing Number

Bank Account Number

Press
Enter

18

Employee InformationPlease enter this information for each employee

First Name, Last Name

Date of Birth

Email Address

Pay Type

Hourly rate or salary per pay period

Payment Method

Bank Routing Number

Bank Account Number

Press
Enter

19

Employee InformationPlease enter this information for each employee

First Name, Last Name

Date of Birth

Email Address

Pay Type

Hourly rate or salary per pay period

Payment Method

Bank Routing Number

Bank Account Number

Press
Enter

20

Employee InformationPlease enter this information for each employee

First Name, Last Name

Date of Birth

Email Address

Pay Type

Hourly rate or salary per pay period

Payment Method

Bank Routing Number

Bank Account Number

Press
Enter

21

Employee InformationPlease enter this information for each employee

First Name, Last Name

Date of Birth

Email Address

Pay Type

Hourly rate or salary per pay period

Payment Method

Bank Routing Number

Bank Account Number

Press
Enter

22

Employee InformationPlease enter this information for each employee

First Name, Last Name

Date of Birth

Email Address

Pay Type

Hourly rate or salary per pay period

Payment Method

Bank Routing Number

Bank Account Number

Press
Enter

23

Employee InformationPlease enter this information for each employee

First Name, Last Name

Date of Birth

Email Address

Pay Type

Hourly rate or salary per pay period

Payment Method

Bank Routing Number

Bank Account Number

Press
Enter

24

Employee Setup Package - W4 and Direct Deposit Authorization

Press
Enter

25

Employee Setup Package - UploadPlease upload a completed Employee Package for each employee which includes a W4 & Direct Deposit Form

Drag and drop files here

Select files to upload

Browse Files

Press
Enter

26

Form I-9 - Employment Eligibility Verification

Press
Enter

27

By agreeing, I confirm that the information I am providing is accurate and supported by all the necessary documents.* This field is required.

AgreeNo

Press
Enter

28

By agreeing, I bear full responsibility of any errors or misstatements of the documents I have provided.* This field is required.

AgreeDisagree

Press
Enter

29

By agreeing, I am fully responsible for all fees incurred* This field is required.Please refer to engagement letter for billing details.

AgreeDisagree

Press
Enter

30

Signature* This field is required.

Press
Enter