Payroll Submission Form

Organization

Email *

Phone *

Please Pick the Pay Date *

Pay Frequency *

Weekly

Bi-Weekly

Monthly

Any New Employees Added For This Pay Period? *

Yes

No

SIN Number (New Employee 1) *

First Name (New Employee 1) *

Last Name (New Employee 1) *

Date of birth (New Employee 1) *

Rate of Pay (New Employee 1) *

Address (New Employee 1) *

SIN Number (New Employee 2) *

First Name (New Employee 2) *

Last Name (New Employee 2) *

Date Of Birth (New Employee 2)

Rate of Pay (New Employee 2) *

Address (New Employee 2) *

SIN Number (New Employee 3) *

First Name (New Employee 3) *

Last Name (New Employee 3) *

Date Of Birth (New Employee 3)

Rate of Pay (New Employee 3) *

Address (New Employee 3) *

SIN Number (New Employee 4) *

First Name (New Employee 4) *

Last Name (New Employee 4) *

Date Of Birth (New Employee 4)

Rate of Pay (New Employee 4) *

Address (New Employee 4) *

SIN Number (New Employee 5) *

First Name (New Employee 5) *

Last Name (New Employee 5) *

Date Of Birth (New Employee 5)

Rate of Pay (New Employee 5) *

Address (New Employee 5) *

Please Enter All Employees Name, Hours & Salary Below. *

Any Additional Instructions or comments, please let us know below.

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Email:

Phone : (902) 406-8883

Address : 202 Brownlow Avenue, Dartmouth NS B3B 1T5