Company Name

Check Date

MM

DD

YYYY

Hours

Please list ALL employees the rates and hours they have worked

New Employees

If you select yes, please make sure to email us the W-4 form for the new employees

YES

NO

Comments

If you have any new employees, click the button to print out a W-4 form and then scan it, then email it to us at office@scci-cc.com

Or you may fill out a New Employee Information for Withholding Form here:

COMPANY NAME

Employee Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Employee Social Security Number

Marital Status of Employee

Select one

Number of Dependents Claiming

Date of Hire

MM

DD

YYYY

Send Us Your Hours

SCCI Payroll Services