RDF Company Payroll Enrollment Form

Company Payroll Enrollment Form

Rubber Duck Advantage Program
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Once you have clicked on the "Submit" button below, client hereby authorizes Trucker Tax Service to perform payroll services under the conditions set up in the Settlement Deduction Authorization agreement you signed.

This agreement Includes one employee with unlimited pay periods and you may terminate agreement at any time.
Company Setup Information
Company Name
EIN
Company Type
Contact Name

First NameLast Name
Contact Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Email
example@example.com
Phone Number
Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name of Corporate Bank
Corp Bank Routing Number
Corp Bank Account Number
Employee Setup Information
Name

First NameLast Name
Date of Birth
Social Security Number
Email
example@example.com
Phone Number
Format: (000) 000-0000.
Address (omit if same as above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name of Employee's Bank
Employee's Bank Routing Number
Employee's Bank Accounting Number
We direct deposit weekly pay checks, if you prefer a different schedule, please specify
After clicking on the "Submit" button below, please email your

completed W4 (https://www.irs.gov/pub/irs-pdf/fw4.pdf),

a copy of your Drivers License, and

a copy of a voided check or a screenshot of your bank account to

jodonnell@truckertaxservice.com
By pressing submit below you agree to the terms of this agreement.
Revision Date 1/26/2025
Should be Empty:

Company Payroll Enrollment Form

Company Setup Information

Employee Setup Information