Incorporated Date *

What date was the business created? If you don't know the exact date, pick a date in the year it was created.

MM

DD

YYYY

Business Phone *

(###)

###

####

Business Address *

Mailing address preferred

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Main Contact Phone *

Who should we speak to for verification?

(###)

###

####

Owner Legal Name *

Who can authorize on behalf of the company?

First Name

Last Name

Owner Birthdate

This is a necessary field if you do not already have an EDD account number.

MM

DD

YYYY

Owner Home Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Pay Schedule *

How often will your pay your employees? check all that apply.

Weekly

Bi-Weekly

Semi-Monthly

Monthly

Quarterly

Not Sure yet

Payment Method *

How do you pay your employees? pick all that apply.

Direct Deposit to bank account

Company checkbook or cash

Printed checks

Not sure