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Add a New Employee

Company Name or Company ID*
Please ask your employer for this information.
Demographic Information
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP / Postal Code
Email*

Please provide the email address you wish to access the Employee Self Service portal. You will be able to retrieve your Paystubs and W2 from the Employee Self Service portal.
Department Name/Number*
If you are unsure please ask your employer. If your employer does not have specified departments please indicate by entering NO DEPT.
Date of Hire*
MM slash DD slash YYYY
Date of Birth*
MM slash DD slash YYYY
Tax Information
Social Security Number or FEIN*
Employment status*
- I am a W2 Employee
- I am a 1099 Contractor
Federal Filing Status*
Please select your federal filing status please from the drop down.
Federal Withholding Allowances*
Please enter a number from 0 to 10.
State Filing Status
(if applicable)
State Withholding
(if applicable)
Work State*
Primary Residence State*
Local Tax
Would you like to receive your pay via direct deposit?*
- Yes
- No
Direct Deposit Information
Bank Name (1)*
ABA Transit # (1)*
Account # (1)*
Account Type (1)*
- Checking
- Savings
Amount $ or % (1)*
Add a second bank?*
- Yes
- No
Bank Name (2)*
ABA Transit # (2)*
Account # (2)*
Account Type (2)*
- Checking
- Savings
Amount $ or % (2)*
Add a third bank?*
- Yes
- No
Bank Name (3)*
ABA Transit # (3)*
Account # (3)*
Account Type (3)*
- Checking
- Savings
Amount ($ or %) (3)*
Add a fourth bank
- Yes
- No
Bank Name (4)*
ABA Transit # (4)*
Account # (4)*
Account Type (4)*
- Checking
- Savings
Amount $ or % (4)*
Add a fifth bank?*
- Yes
- No
Bank Name (5)*
ABA Transit # (5)*
Account # (5)*
Account Type (5)*
- Checking
- Savings
Amount $ or % (5)*
Authorization*
- I hereby authorize my employer to directly deposit my pay in the bank account(s) listed above in the amounts/percentages specified. (If two accounts are designated, deposits are to be made in whole percentages of pay to total 100%.) I have attached a voided personalized check (checking accounts) or deposit slip (savings accounts) for each account specified above. No more than four accounts may be designated. This authorization is to remain in force until 10th Magnitude has received written authorization from me of its termination or change. Also, I hereby grant my employer the right to correct any such electronic funds transfer resulting from an erroneous over-payment by debiting my account to the extent of such over-payment.
Additional Notes and Comments
Please let us know if you have any other questions, concerns or comments.

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Name*
First Last
Email*
Phone*
Company Name*
Location*
City State
Number of Employees*
Services you are most interested in*
- Payroll
- Time Tracking/Management System
- Scheduling
- HR Automation/HRIS
- Benefits Enrollment
- Carrier Connection
- HR Compliance
- HR Outsourcing
- Other
Additional information
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Best time to contact you*

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Legal Name of Business*
Federal Tax ID Number*
Number of Employees*
Address*
Street Address Street Address Line 2 City Region Postal / Zip Code Country
Type of Business/Description of Operations
Contact Name
First Last
Contact Phone Number
Contact Email
The Company Is:
- Existing Client
- Prospect
Payroll Frequency
First Check Date
MM slash DD slash YYYY