Accountant: _________________ Client Name: ______________________ Client Code: ____________ Firm Code: ______
PAYROLL CHANGE FORM
Use this form to make any employer or employee changes.
EMPLOYER CHANGES
(Contacts, SUI Rates, Deductions, Electronic Services, PayTypes, Departments, Bank Accounts)
Description
New Information
Old Information
Effective Date
NEW HIRES
For all new hires please attach an Employee Setup Form
Description
New Information
Old Information
Effective Date
CHANGES FOR CURRENT EMPLOYEES
(Address, Salary, Employment History, Job Title, Department, Taxes, Deductions, Accruals)
Name
New Information
Old Information
Effective Date
BONUS OR COMMISSION CHECKS
Employee
Bonus or
Amount
Other Information
Comission?
(2
check, aggregate)
nd
Deduct retirement contributions (y/n)? ________ (Answer Y if the summary plan description allows this deduction.)
ADDITIONAL CHECKS
(Manual, 3
party sick pay, HI 2% shareholder, non-cash benefits. Please attach copies of any checks)
rd
Description
New Information
Old Information
Effective Date
ADDITIONAL INFORMATION
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
For more information, see Instructions: Additional Forms > Payroll Change Form