1. Quote Details 2. Company Questionnaire * 3. Company Questionnaire Legal Name DBA Name Payroll Frequency Weekly BiWeekly Semi-Monthly Monthly Quarterly No of Employees Primary State None Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Included Options Online Payroll Employees Self Service Direct Deposit Vacation/Sick Tracking Tax Payments (All States) Tax Filling (All States) 100's of Different Reports Conversion to PayPros (Setup) New Hire Reporting E-mail Payroll Reports (Paperless) Payroll Debit Card Check to options you want to include Time and Attendance Web Clock Time Clock Delivery Method Electronic Delivery Check Type Paperless Checks Additional Options Quickbooks Download FSA per Payroll per Employee HR Answerlink (online) HR OnDemand (call in) Third Party Checks (child support, 401(k),etc.) Pay-As-You-Go Workers Comp. #Checks Per Payroll IF "Third Party Checks (child support, 401(k),etc." is Checked Pay-As-You-Go Workers' Comp. Type The Hartford Other If "Pay-As-You-Go Workers Comp." is Checked One Time Fee Options Check Signing Plan Document Billing Address Address Line 1 Address Line 2 City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Country United States Zip Code Business Details Federal ID Number Business Type Sole Prop Partnership LLC S Corp C Corp Other LLC Member Single Multi If Business Type is LLC LLC Tax Type Sole Prop Partnership Regular Corp S Corp If Business Type is LLC Specify If Business Type is "Other" Federal Deposit Frequency Semi-Weekly Monthly Quarterly Business-Phone Authorized Representative Title President Vice President Officer Director Member Owner E-mail Address Will PayPros file & pay your taxes? Yes No CPA Firm Check if CPA Firm Not Applicable Name Contact Phone E-Mail Employ State detailsYou can add multiple states via clicking button "Add Another State" Employ State 1 State Name Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State ID Filling Frequency Unemployment ID Unemployment Rate Remove State Add Another State Payroll Details Transmit Type Internet E-Mail Fax Call In Call Out Normal Transmit Day Mon Tue Wed Thu Fri Normal Transmit Time First Check Date on PayPros Normal Check Day Mon Tue Wed Thu Fri First Period End Date on PayPros Normal Period End Sun Mon Tue Wed Thu Fri Sat First Contact Date Have any payroll checks been paid in the current calendar year? No Yes Was it with a PEO?(i.e. not under your company's Federal ID) No Yes What was or will be the last check date you will process payroll before having PayPros process your payroll? ContactsYou can add multiple contacts via clicking button "Add Another Contact" Contact 1 Title Name Contact Phone Contact E-Mail Remove Contact Add Another Contact Needed BreakDowns NA Job Division Department Other Specify If Other is Selected Fringe Benefit Reporting NA PUCC Life Ins. Sub S Health Other Specify If Other is Selected Bank Account Details Bank Name Routing and Transit Number Account Number Account Type Checking Savings Draw Your Signature By signing here, You are agreeing to the terms and conditions of these 2 forms (Download form 1, Download Form 2) and this signature will show up as the actual signature on these forms Special Instrucitons Please mention if there is any special instructions How Did you hear about PayPros, Inc (Optional) Back Next
