Payroll Package Purchase Form

Name *

Email address *

Phone number

Business Name *

Tax ID *

Upload IRS Documented Proof of FEIN *

Upload Poof of State Withholding Number *

Upload State Unemployment Insurance number *

State Unemployment Insurance Rate *

Upload most recent filed STATE quarterly return *

How many employees and contractors do you want to process payroll for? *

1-10

11-50

51-250

Who will run payroll? *

We don't have payroll

Client will run payroll

Harava will run payroll

Preferred payroll Frequency? *

Weekly

Bi-weekly

Semi monthly

Monthly

How do you prefer to be contacted? *

Please select at least one option.

Phone Call

Text

Email

Select a date and time *

Select a date and time

September 2018

Mon

Tue

Wed

Thu

Fri

Sat

Sun

Morning

Afternoon

Evening

No availability, try another day

Harava Group