Basic Company Setup Form
Please complete this form to enroll for inFocus Payroll
Company Setup
Company's Legal Name:
Doing Business As (DBA):
Company Type:
Please Select
Corporation
Sole Proprietorship
General Partnership
Limited Partnership
Non-Profit Corporation
Limited Liability Corporation
S Corp
Other
I don't know
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Owner, Officer, or Member
Name
First Name
Last Name
Title
Phone Number
-
Area Code
Phone Number
Fax
-
Area Code
Phone Number
E-mail
example@example.com
Date of Birth
-
Month
-
Day
Year
Optional - Needed for state registration
Social Security Number
Optional - Needed for state registration
Payroll Contact
If other than Owner, Officer, or Member
Name
First Name
Last Name
Title
Phone Number
-
Area Code
Phone Number
Fax
-
Area Code
Phone Number
E-mail
Bank Info
Please enter the Routing and Checking account numbers from your company bank account below. This should be the account from which payroll funds will be withdrawn. If you find that the system is not accepting your bank information, call 877-495-5289 for assistance.
Bank Name:
Routing Number:
Checking Account Number
Submit a void check image
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Payroll Earnings
Please provide information on your earnings types for your employees. (ie: Hourly, Salary, Bonus, Commission, etc.)
Earnings Description
Attach a Payroll Report from your previous provider.
Upload a File
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Payroll Deductions
Please provide information on your deduction types for your employees. (ie: Health Premium, 401k, etc.)
Deductions Description
Attach a Payroll Report from your previous provider.
Upload a File
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Upload any additional files
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Tax Information
Payroll tax information for federal, state, and local jurisdictions
Federal Employer Identification Number (FEIN)
State
Withholding ID:
Withholding Deposit Frequency
Please Select
Semi-Weekly
Monthly
Quarterly
I don't know
Unemployment ID:
Unemployment Rate:
Pay Frequency:
Please Select
Weekly
Bi-Weekly
Semi-Monthly
Monthly
Quarterly
Annually
I don't know
First Payroll Check Date:
-
Month
-
Day
Year
Date Picker Icon
Pay Period Ending On:
-
Month
-
Day
Year
Date Picker Icon
If your check date lands on a weekend or holiday:
Process payroll on the prior business day
Process payroll on the next business day
Do you offer paid time off?
Yes
No
Please enter below any information regarding the company as a whole you feel has not been discussed and should be included in the payroll setup.
ACH Authorization
By signing below, I authorize inFocus Payroll LLC to initiate electronic funds transfer (EFT) transactions to credit or debit the bank account specified herein for payroll purposes. This authorization is to remain in full force and effect until inFocus Payroll LLC has received written notification from me of its termination in such time and in such manner as to afford inFocus Payroll LLC and the bank a reasonable opportunity to act on it. I understand that I have the right to revoke this authorization at any time by providing written notice to inFocus Payroll LLC and the bank.
Signature
*
Submit
Should be Empty: