New Payroll Client Form
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1
2NEW PAYROLL CLIENT FORM
COMPANY INFORMATION
Company Name
DBA
Legal Address
City
State
Zip
Phone
Fax
Email
Owner of Company
Payroll Contact(s)
MAILING/BILLING ADDRESS
Same as Company
Mailing Address
City
State
Zip
PAYROLL INFORMATION
Federal ID #
Federal Deposit Frequency: M _________ SW _________
State ID #
State Deposit Frequency: M _________ SW _________
Unemployment ID #
Unemployment Tax Rate:
Pay Period: W ______ BW ______ SM ______ M ______
Pay Day: M ______ Tu ______ W ______ Th ______ F ______
First Pay Date:
First Pay Period:
to
Direct Deposit?
Yes
No
If Yes, Please provide banking information to your payroll specialist.
Entry Method: Call In _________ Fax _________ Email _________
Delivery: Pick Up _________ Mail _________ Email _________
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Parent category: Business