AtlasHR Additional Payroll Request

Additional Payroll Request
Company Name*
Submitted By*
Submitter Email*
Payroll Information
Check Date*

MonthDayYear
Pay Period Begin

MonthDayYear
Pay Period End

MonthDayYear
Do you need any new earning and/or deduction codes added to the system to process this payroll?*

YesNo
Click here to submit a New Code Setup form for any earnings/deductions that you need setup prior to processing your additional check date.
To be included in this payroll:

BonusManual Check RecordingGroup Term LifeS-Corp 2% Medical1099M PaymentsOther (please include in special instructions below)
Which recurring earning/deductions should be blocked?*

All recurring earnings and deductions should calculate normallyAll recurring earnings and deductions should be blockedEverything except retirement contributions and matchesI will specify which codes should be included below
List any deduction codes that should be blocked:
Special Instructions:
By submitting this form, I approve the setup of the requested additional payroll and understand that standard processing fees apply. I assume any related liability in the event that the information provided is found to be inaccurate.
Should be Empty:

Additional Payroll Request