4th 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 (4TH QTR)

Step 1 of 3

33%
  • REQUESTED INFORMATION - PLEASE SUBMIT ADDITIONAL FORM(S) IF MORE THAN 1 EMPLOYEE.

  • OCT DEPOSIT (MADE BY NOV 15)

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

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

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