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Enroll With The Payroll Company

Thank you for choosing The Payroll Company. To begin enrollment, please complete this form.   After submitting it, your Enrollment Specialist will contact you. Your Enrollment Specialist provides you dedicated installation support and quick-start training.

Privacy & Security Statement

Section 1. Company Information
Company Legal Name:
DBA Name:
Entity Type:
Phone:
Fax:
Web Address:
Address:
City: St: Zip:
Company Principal Name:
Company Principal Email:
Web enrollment completed by name:
Title of person completing web enrollment:
Completed by Email:
Section 2: Conversion Information
Business status:
Which service/software are you converting from?
If 'Other Software/Provider' please specify:
Date of your last payroll with this provider? MM/DD/YYYY 
Have you paid wages this year ?
Will your first payroll with The Payroll Company be the first payroll of the quarter?
Section 3: Payroll Processing Options
Payroll Frequency:
Cut third-party payment checks (i.e. Child Support, Garnishment, etc.) ($3.50/ea)
Create G/L Import File (Additional fees will apply):
Multiple Divisions : Department Allocation : Job Costing :
Section 4: Payroll Schedule
When Pay Day is on a Weekend or Holiday:
1st Check Date with TPC: MM/DD/YYYY
1st Check is for pay period ending: MM/DD/YYYY
TPC will receive 1st Check Pay Data on: MM/DD/YYYY
2nd Check with TPC: MM/DD/YYYY
2nd Check is for Pay Period: MM/DD/YYYY
List all e-mail addresses that should receive electronic payroll reports:
Section 5: Delivery Options
Do you want your checks sealed (requires electronic check signature)?
How do you want your checks/vouchers delivered?
Publish my pay stubs/W2 Forms to the internet so that my employees can view their entire payroll history online - $0.70/month/employee
Section 6: Accountant Information
 Accounting Firm Name:
Phone:
Fax:
Accountant Mailing Address:
Who is your main contact at the accounting firm?
Accountants Email Address:
Would you like us to Email your payroll reports to your accountant?:
Section 7: Payroll Checking Account Information   ( Privacy & Security Statement )
Bank Name:
Bank Account Number:
Bank Routing Number:
 Starting Sequence Number for Payroll Checks:
Section 8: Tax Information
Federal Tax Information:
FEIN-Include Dash:
FUTA Exempt:
If you use a 3rd-Party Sick Pay provider, who is responsible for W-2 generation?:
State Tax Information: Company Headquarters
Primary Tax State: SUTA Exempt:
Withholding Tax ID#: Unemployment ID#:
If Corp Officer Exclusion List Exempt Officers: I do not have my State Tax ID. I would like The Payroll Company to complete the necessary paperwork. (Additional fees apply)
    We have employees WORKING in more than one state:
Section 9: Workers Compensation Information
Current Workers Compensation Insurance Carrier:
                                        Policy Expiration Date: MM/DD/YYYY
                                                       
(This information is used to verify auditors' information requests.) 
Section 10: Earnings
Regular Hourly Earnings: Holiday:
Overtime (1.5 * Reg Rate): Personal:
Salary: Vacation Earnings:
Sick: Bonus:
Commission: Cash Tips:

Personal Use Company Vehicle:

Sub-S Corp. 2% Owner Health Ins:
Auto Reimbursement: Credit Card Tips:
Group Term Life: Holiday (1.5 * Reg Rate):
List earnings (if any), EXEMPT from 401K matching formula: Additional Custom Earnings:
Section 11: Deductions
 
Sec 125 (Pre-tax) Medical: STD Insurance (Pre-Tax):
Sec 125 (Pre-tax) Dental: STD Insurance (Post-Tax): 
Sec 125 (Pre-Tax) Flex Plan: LTD Insurance (Pre-Tax):
Sec 125 (Pre-Tax) Dependent Care: LTD Insurance (Post-Tax):
Sec 125 (Pre-tax) Vision: Medical Insurance (Post-Tax):
HSA (Pre-Tax): Employee Advance:
HSA (Post-Tax): Child Support:
    Additional Custom Deductions:
You MUST fax copies of all current child support and garnishment orders. Remit to 888-381-5521, Attn: Enrollment Team
Retirement Plan:
If you have a retirement plan, please describe EXACTLY the method used to calculate your EMPLOYER MATCH component.
Section 12: Benefits Tracking (Check all that apply)
Vacation Benefits : Personal Benefits :
Sick Benefits : PTO :
Section 13: Enrollment Questions
Section 14: Additional Services Information Request (check the box of all services that you would like to learn more about)
Online Human Resource Management Restaurant TEFRA Service
Online Time Management Workers Comp:   Pay-As-You-Go 
Employee Services for AppExchange Time and Labor Management (Wall mount)
QuickBooks General Ledger Export Employment Screening
Tax Credit Processing Employee Profiling (Harrison Pyschological Assesments)
Accounting Services Employee Payroll Advance Loans
Retirement Plans Human Resources Consulting
    HR Answer Link