PayUSA New Clients

Please complete and submit the online form below. Thank you.

We appreciate the opportunity to work with you in providing a custom fit solution for your business needs. Please do not hesitate to contact us with any questions. You will receive a confirmation email with a PayUSA registration packet which will include: 

  • Signature Form
  • Payroll Service Agreement
  • Company ACH Authorization Form
  • Reporting Agent Authorization Form (IRS)
  • Power of Attorney and Declaration of Representative
  • Local Earned Income Tax Residency Certification Form (For PA companies only)