* Indicates Required Field Name* Email Address* Phone Number* Number of Employees Frequency of PayrollWeeklyBi-WeeklyMonthlySemi-MonthlyAnnuallyWeekly-Seasonal Number of States Involved Local Taxes (Local & City) Would you like direct deposit or checks?Direct DepositCheck Are we to file your taxes electronically?YesNo Method of delivery? (courier, UPS, email - for direct deposit)CourierUPSEmailOther Will you require 401k reporting?YesNo Do you require a certified payroll?YesNo Current provider’s charges Other Comments:
