Enrollment

Company Name (DBA)
Legal Filing Name
Street Address
City
State
Zip Code
Owner Name
Email Address
Phone Number
Fax Number
Name of Contacts Authorized to Discuss Payroll
Federal Employer ID Number
EDD State ID Number

Payroll Information

Approximate Number of Employees

Are you interested in using Direct Deposit?

YesNo

Would you prefer to have your checks pre-signed?
YesNo
Pay Frequency
WeeklyBiweeklySemiMonthlyMonthly
Date you would like to receive your first payroll
Starting check number to be printed on your payroll checks

Tax Information

Please specify your tax payment frequency SemiWeeklyMonthly
Special Intructions