3rd QTR Employee Payroll Report

PLEASE COMPLETE ALL FIELDS ON THIS FORM.
NOTE: THE INFORMATION WILL NOT SUBMIT IF A REQUIRED FIELD IS NOT FILLED OUT. STARS (*) INDICATE REQUIRED FIELDS. IF YOU HAVE CLICKED “SUBMIT” AND YOU HAVE NOT RECEIVED A SUBMISSION CONFIRMATION, PLEASE SEE BELOW FOR YOUR OMISSIONS.

QUARTERLY EMPLOYEE PAYROLL REPORT (3RD QTR)

Step 1 of 2

50%
  • REQUESTED INFORMATION - PLEASE SUBMIT ADDITIONAL FORM(S) IF MORE THAN 1 EMPLOYEE.

  • JULY DEPOSIT (MADE BY AUG 15)

    PLEASE INCLUDE MONTHLY DEPOSITS MADE BY THE BUSINESS FOR ALL EMPLOYEES.
  • AUG DEPOSIT (MADE BY SEPT 15)

    PLEASE INCLUDE MONTHLY DEPOSITS MADE BY THE BUSINESS FOR ALL EMPLOYEES.
  • SEPT DEPOSIT (MADE BY OCT 15)

    PLEASE INCLUDE MONTHLY DEPOSITS MADE BY THE BUSINESS FOR ALL EMPLOYEES.