Authorised Contacts Change Form

Account Setup Form

Account Details

Company Legal Name(Required)

For what payroll(s)?(Required)

Enter the PAYE number(s) for payrolls you are amending/adding contacts. For multiple, separate with commas.

Effective from date:(Required)

When will the new contact (s) be effective from?

DD slash MM slash YYYY

Authorised Contact Changes

Add any contacts to appear in the SLA here

Contact Name 1(Required)

First Last

Position in Company(Required)

Direct Line Number

Please include country code

Role (use CTRL + click to select multiple)(Required)

Provide what role or level contact will have dealing with Jefferson contact

Access to Information(Required)

What level of access does this contact have to payroll figures?

Contact Type(Required)

Primary Payroll Contact

Billing Contact

SLA Contact

Add 2nd Contact?

Yes

Contact Name 2

First Last

Position in Company

Direct Line Number

Please include country code

Role (use CTRL + click to select multiple)

Provide what role or level contact will have dealing with Jefferson contact

Access to Information

What level of access does this contact have to payroll figures?

Contact Type

Please indicate which applies to this contact

Primary Payroll Contact

Billing Contact

SLA Contact

Add "Backup Only" Contact?

Yes

Backup Contact Name

Useful in emergencies when other contacts are unreachable for example

First Last

Position in Company

Direct Line Number

Please include country code

Backup Role Only

Access to Information(Required)

What level of access does this contact have to payroll figures?

Do you need to remove any existing contacts (enter names below)?

Provide names of current contacts to be removed (if applicable)

Form completed by:

This field is hidden when viewing the form

SLA-Num

This field is hidden when viewing the form

Payroll-ID

Name

This field is for validation purposes and should be left unchanged.

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Authorised Contacts Change Form

Account Setup Form

Account Details

Authorised Contact Changes

Get connected with us on social networks!

Payroll Services

Links

Member of

Find Us

…for happier paydays…