Payroll Questionnaire

Point of Contact Information
Please provide the information for the person who we will be primarily contacting for the completion of this service.
Name*
First Last
Title
Phone*
Email*
Have you talked to anyone from ADP in the past 45 days?*
- Yes
- No
Company / Organization Information
Company Legal Name*
DBA (Doing Business As)
EIN*
Date Started*
Date Format: MM slash DD slash YYYY
Mailing Address*
Street Address Address Line 2 City State ZIP Code
Is your mailing address the same as your legal address?*
- Yes
- No
Legal Address*
Street Address Address Line 2 City State ZIP Code
Company Phone*
Company Email*
Payroll Info
Pay Frequency*
First Check Date (when will the first check be paid for this employee)*
Date Format: MM slash DD slash YYYY
Do you want employees to access their paystubs online?*
- Yes
- No
Employee Information
Number of Employees*
Employee 1
Name*
First Last
Email*
Date of Birth*
Date Format: MM slash DD slash YYYY
Mailing Address*
Street Address Address Line 2 City State ZIP Code
Social Security Number*
Marital Status*
Number of Dependents*
Pay Rate*
Accounting Number*
Routing Number*
Employee 2
Name*
First Last
Email*
Date of Birth*
Date Format: MM slash DD slash YYYY
Mailing Address*
Street Address Address Line 2 City State ZIP Code
Social Security Number*
Marital Status*
Number of Dependents*
Pay Rate*
Accounting Number*
Routing Number*
Employee 3
Name*
First Last
Email*
Date of Birth*
Date Format: MM slash DD slash YYYY
Mailing Address*
Street Address Address Line 2 City State ZIP Code
Social Security Number*
Marital Status*
Number of Dependents*
Pay Rate*
Accounting Number*
Routing Number*
Employee 4
Name*
First Last
Email*
Date of Birth*
Date Format: MM slash DD slash YYYY
Mailing Address*
Street Address Address Line 2 City State ZIP Code
Social Security Number*
Marital Status*
Number of Dependents*
Pay Rate*
Accounting Number*
Routing Number*
Employee 5
Name*
First Last
Email*
Date of Birth*
Date Format: MM slash DD slash YYYY
Mailing Address*
Street Address Address Line 2 City State ZIP Code
Social Security Number*
Marital Status*
Number of Dependents*
Pay Rate*
Accounting Number*
Routing Number*
Employee 6
Name*
First Last
Email*
Date of Birth*
Date Format: MM slash DD slash YYYY
Mailing Address*
Street Address Address Line 2 City State ZIP Code
Social Security Number*
Marital Status*
Number of Dependents*
Pay Rate*
Accounting Number*
Routing Number*
If you have additional employees, you can place their information in this box.
Name
This field is for validation purposes and should be left unchanged.

Save and Continue Later

Point of Contact Information

Company / Organization Information

Payroll Info

Employee Information

Employee 1

Employee 2

Employee 3

Employee 4

Employee 5

Employee 6

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