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Payroll Calendar Change Request Form
Email:
Enter the same email address which you signed in with:
Applicable Company Codes:
For multiple companies, enter all company codes separated by a comma. IE. 9999, 9999A, 9999B
Change Type:
Select One
Add a batch to the company’s ongoing payroll calendar
Change the company’s ongoing payroll check date and/or period date
Change the company’s ongoing payroll pay frequency
Other
Add a batch to the company’s payroll calendar
Reason for the additional batch:
Select One
Commissions/Bonuses
I have some employees who their pay period is different than the company’s standard pay period
Other
Please specify what the batch will be used for:
Frequency of batch:
Select One
Same frequency as my regular payroll batch
Weekly
Biweekly
Semi monthly
Monthly
First Check Date:
The check date of the first period which the batch will be used in
First Period Begin Date:
The period begin date of the first period which the batch will be used in
First Period Ending Date:
The period ending date of the first period which the batch will be used in
Special batch overrides:
No special overrides
Block Base Auto Pays (block paying salaried employees)
Block Employee Auto Pays (block items setup in the Auto Pays tab)
Block direct deposit
Block fringe earnings
Block all deductions
Block specific deductions
Special tax frequency
Please list the deduction codes to block:
Please specify the tax frequency to use:
Which employees should be included in the batch?
All employees
Specific employees
Logic to use in identifying the employees to include in the batch:
IE. “Department 1 and 5”
Do you need a time file import service setup for this batch?
No
Yes
Please attach to this requests a sample of the import file
Click
here
for the time file sample and specs
Change the company’s payroll pay frequency
What is your current pay frequency?
Select One
Weekly
Biweekly
Semi monthly
Monthly
New pay frequency:
Select One
Weekly
Biweekly
Semi monthly
Monthly
First Check Date
The check date of the first period which the change will take place on
First Period Begin Date:
The period begin date of the first period which the change will take place on
First Period Ending Date:
The period ending date of the first period which the change will take place on
Please describe the reason for your change:
Change the company’s payroll check date and/or period dates
First Check Date
The check date of the first period which the change will take place on
First Period Begin Date:
The period begin date of the first period which the change will take place on
First Period Ending Date:
The period ending date of the first period which the change will take place on
Please describe the reason for your change:
Please Specify
Comments:
I understand that it is the client’s responsibility to verify that all items were set up as requested, and it is the client’s responsibility to test the accuracy of the calculations resulting directly or indirectly from this request.
In no event will Empeon be liable for any direct, indirect, incidental, consequential, punitive, or monetary damages, occurring as a result of this request, whether or not such damages were foreseeable and even if Empeon was advised that such damages were likely or possible.
I agree to the $50 payroll calendar rebuild fee. If my ongoing payroll calendar change requires review/adjustments to my custom services (i.e. custom OT & benefit calculations, accrual calculations, etc); I agree to the $200 per hour of labor custom service fee (minimum 1 hour).
Client Agreement Confirmation
Agree
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