Required Documentation for Service Initiation:
Please gather the necessary documentation for Gana Pay prior to the commencement of services. We recommend
beginning the collection of these documents to be submitted concurrently with your PEO Employer Kit to ensure a
timely and efficient start to our partnership.
Current Payroll Register - Include job titles and departments to ensure continuity and accuracy in payroll processing.
Employee Direct Deposit Information - Such as a voided check or bank statement for setting up payroll processing
(Your employees will provide this during their Electronic Employee Onboarding Process).
Current Employee Garnishments and/or Child Support Orders - To ensure compliance with legal withholding
requirements from the start.
SUTA Number also known as Reemployment Tax Account Number.
3 Months Full Bank Statements - To verify financial stability and cash flow.
Certificate of Insurance - Listing Gana Pay LLC as additional insured for General Liability and Commercial Auto
(If Applicable), ensuring all contractual insurance requirements are met.
Current Employee Handbook - To review current HR policies and integrate with Gana Pay’s standards.
Current Safety Handbook - Critical for assessing risk management practices and integrating safety protocols.
Retirement Plan Documents and IRS Letter of Determination (If Applicable)
Gana Pay efficiently manages garnishment processing by adhering to federal and state allowances. The associated fees
are deducted from employee wages via payroll, but this occurs only after receiving court approval.
Payments are disbursed to the designated court or payee either by mail or electronically, typically one day after
payday. Please ensure that your employees are informed of this procedure.
Direct Deposit is offered where state laws allow it. Direct deposit information must be accurate. Pay cards can be
provided to your employees when requested should they not wish to use direct deposit into a bank account.
Before Gana Pay can commence services, your company must list Gana Pay LLC as an additional insured on your General &
Professional Liability and Auto Liability insurance policies.
You are required to provide a copy of your insurance coverage that aligns with the stipulations outlined in our Service
Agreement and is authorized to operate in every state where you conduct business.
Services and coverage provided by Gana Pay will only commence upon receipt and verification of your insurer's
certificate. Payroll processing will be on hold until we have this certificate on file.
WORKERS’ COMPENSATION
certs@gana-pay.com
Insurance Requirements for General & Professional Liability and Commercial Auto
Please direct all requests for workers' compensation certificates to Gana Pay. Ensure you include the recipient's /
certificate holder’s name, address and email address with each request.
4475 US HWY 1 S Unit #301 ~ St Augustine, FL 32086
904-587-4459 (P)
Legal Company Name:
Other
FEIN
Authorized Signer:
Title:
Authorized Signer’s Email:
Name:
Title:
Percentage of Ownership:
Phone:
Cell:
Email
Name:
Title:
Percentage of Ownership:
Phone:
Cell:
Email
Name:
Title:
Percentage of Ownership:
Phone:
Cell:
Email
Name:
Title:
Percentage of Ownership:
Phone:
Cell:
Email
How is it Paid:
Proof of per diem required
Print or Type name of Authorized Representative:
Signature of Authorized Representative of new client:
Date:
PAYROLL
Main Contact Name:
Phone Number 1:
E-mail:
Phone Number 2:
Confidentiality - be specific as to who we may contact regarding payroll data, and who we may not contact:
Yes, you MAY contact:
Other special instructions for our Payroll Department
WORKERS' COMPENSATION
Main Contact Name:
Phone Number 1:
E-mail:
Phone Number 2:
Other special instructions for our Payroll Department
HUMAN RESOURCES
Main Contact Name:
Phone Number 1:
E-mail:
Other special instructions for our Payroll Department
BENEFITS
Main Contact Name:
Phone Number 1:
E-mail:
Phone Number 2:
Other special instructions for our Payroll Department
SAFETY & RISK MANAGEMENT
Main Contact Name:
Phone Number 1:
E-mail:
Phone Number 2:
Other special instructions for our Payroll Department
ACCOUNTING - Include needed reports
Main Contact Name:
Phone Number 1:
E-mail:
Phone Number 2:
401(k) - be specific - provide a specific format if needed including report frequency. Note: At year end we provide a comprehensive report for
your 401(k) filing
Other special instructions for our Payroll Department
LOCATION INFORMATION – For EACH location, terminal, office drop yard, etc. complete the following form
MAILING ADDRESS
Street Address or PO Box:
City:
State:
Zip:
PHYSICAL ADDRESS if different from Mailing Address above
Street Address or PO Box:
City:
State:
Zip:
PHONE NUMBER
Main:
Secondary:
Cell:
LOCATION TAX INFORMATION
SUTA Account Number:
SUTA Experience Rating:
City Name:
City Tax:
County Name:
County Tax:
Are there any other taxes we need to be aware of?
*Only applicable for clients registered in states other than Florida
***PLEASE COMPLETE THIS FORM FOR EACH LOCATION**
HUMAN RESOURCES AND BENEFITS
Please submit a copy of your PTO agreement to us if you want it tracked through payroll.
Health Insurance Benefits - Provider Name & Renewal Date
Dental Insurance Benefits - Provider Name & Renewal Date
Life Insurance Benefits - Provider Name & Renewal Date
Supplemental Insurance Benefits - Provider Name & Renewal Date
Name of Company:
Name of Company:
What payroll software do you use?
Contact Name:
Phone:
Email Address:
Contact Name:
Phone:
Email Address:
Contact Name:
Phone:
Email Address:
NOTES
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