FOR EMPLOYER USE ONLY Employer New Hire Form (Mandatory) Adding New Employee What Is The Name Of Your Company (On File) * You must be a current Payroll Client If not Contact Russell Landon to set up your business payroll account with us. Is This An Employee Who Worked For You Previously? * Yes No Name Of Employee * Name Of Employee First First Last Last Job Title * Employee's Job Title. (Start Date) * What is the estimated 1st day of work Payroll Type(s) * Hourly Wages Salary Wages Commissions Bonuses If your employee will be paid for multiple types of pay, select all that may apply Hourly Rate Estimated Salary Per Pay Period What Is Your Desired Payroll Schedule? * Weekly (Once a week) Bi-Weekly (Every other week) Semi-Monthly (Twice a month i.e 1st & 15th or 5th & 20th) Monthly (Once a month) *There are additional monthly fees for Weekly Payroll. Choose Option If Semi-Monthly 1st & 15th (of each month) 5th & 20th (of each month) This field is mandatory if choosing Semi-Monthly Pay Periods. Payroll Deduction(s) (Choose all that may apply) * Health & or Dental Insurance Retirement Plans Garnishments (child/spousal support) Reimbursements (employee is reimbursed for expenses) Will you offer any types of payroll benefits or be reimbursing employees for non-payroll expenses? Choose Which Payroll Deductions If Any Are Pre-Tax Items Health & or Dental Insurance Retirement (IRA 401k ect.) Employees who elect to enroll in employer-sponsored Heath or Traditional Retirement plans is pre-taxed meaning they do not pay tax on the amount of premiums/retirement payments. Employees that do not elect to enroll in employer-sponsored plans are post-tax premiums and not considered deductible from thier wages. Amount Of Health/Dental Premium Per Check (if any) Amount Of Pre Tax Retirement Per Check (if any) Type Of Paycheck Processing Classic Printed Payroll Check & Paystub (We Print Check You Pick Up At Our Office Each Pay Period) Email Service (PayStubs Only You Write Your Own Check) Bank To Bank Transfer Aka Direct Deposit (Additional Fees Apply) How do you want your employee's paycheck/paystub delivered? Your Name (Person responsible for submitting this form) * Your Name (Person responsible for submitting this form) First First Last Last IMPORTANT: Please Read If you are human, leave this field blank. Submit
