Payroll Set-up Form Employee information Question Title * 1. Company Name (if not applicable, type NA) Question Title * 2. First Name Question Title * 3. Last Name Question Title * 4. Address (include city, state and zip) Question Title * 5. Date of Birth Date / Time Date Question Title * 6. Company Tax Id # (If applicable) Question Title * 7. Social Security Number or EIN (000-00-0000) Question Title * 8. Email Question Title * 9. Employee Type Full Time Temporary 1099 Part Time Question Title * 10. Employee Status Active Terminated New Hire Inactive Question Title * 11. Preferred Payment Paper Check Direct Deposit Question Title * 12. Direct Deposit Information (if only using 1 account, type NA in the additional account textboxes) Routing Number (Account 1) Account Number (Account 1) Bank Name (Account 1) Routing Number (Account 2) Account Number (Account 2) Bank Name (Account 2) Routing Number (Account 3) Account Number (Account 3) Bank Name (Account 3) Question Title * 13. How do you want to split your deposit? Percent (%) Dollar Amount ($) N/A Question Title * 14. Percent (%) or Dollar ($) Amount Deposited into Account(s) Account 1 Account 2 Account 3 Question Title * 15. Type of Account Type Account 1 Checking Savings NA Account 1 Type menu Account 2 Checking Savings NA Account 2 Type menu Account 3 Checking Savings NA Account 3 Type menu Question Title * 16. Federal Tax Filing Status (Complete Questions 16-17) if you Are An Employee. Independent Contractors Should Not Complete Questions 16-18) Married Single Head of Household Other Question Title * 17. State Tax Filing Status Married Single Head of Household Other Question Title * 18. Pay Information (for employer use only) Salary Hourly Question Title * 19. Pay Rate (for employer use only) Done