Please complete the information below to sign-up with NannyChex.

Employer Legal Name:
Address:
City, State Zip:
 

Home Phone:

Work Phone:

Cell Phone:

e-mail:

Service option:
Full Service
Taxes only
Employee’s legal name:

Employee’s start date:

Employee’s pay frequency:

Weekly
Bi-weekly
Semi-monthly
Monthly

(Bi-weekly–payroll is done every other Friday;
Semi-monthly–payroll is done on 15th and last day of each month) 

 

 

Employee’s GROSS salary OR Employee’s GROSS hourly rate:

per
day
week
month
year     

 
Employee’s Gross hourly rate
Employee’s work schedule:
Other information: