HR Remittance Agreement

HR Remittance Agreement

Parties and Effective Date

This HR Remittance Agreement (the Agreement) is entered into by and between:

Effective Date:

Recitals and Definitions

WHEREAS, Employer engages Agent to perform remittance and payroll-related remittance services for the Employer's employees, including but not limited to withholding and remitting payroll taxes, employee benefit contributions, garnishments, and other authorized deductions; and

WHEREAS, Agent agrees to perform such services pursuant to the terms and conditions set forth in this Agreement.

Scope of Services

Agent shall, in accordance with applicable law and Employer instructions: receive payroll files, calculate and remit federal, state and local payroll taxes; remit employee benefit contributions and premiums; process wage garnishments and tax levies; prepare and file required remittance reports; and provide remittance confirmation to Employer in accordance with the remittance schedule described below.

Remittance Schedule and Fees

Federal Payroll Taxes    State Payroll Taxes    Local Taxes    Employee Benefit Contributions    Garnishments / Levies

Employer Obligations

Employer shall provide accurate employee data, payroll files and timely instructions necessary for remittance. Employer represents that it has authority to instruct Agent with respect to employee deductions and remittances and will promptly notify Agent in writing of any change to employee authorizations.

Agent Obligations and Standards

Agent shall perform services in a commercially reasonable manner consistent with industry standards and applicable law. Agent will maintain records of remittances and provide periodic remittance reports and confirmations to Employer as specified in this Agreement.

Confidentiality, Data Protection and Records

Each party shall maintain the confidentiality of employee personally identifiable information and payroll data. Agent shall implement administrative, technical and physical safeguards to protect such data and shall only use data for purposes of performing remittance services. Agent shall retain records for the period required by law and permit Employer to audit remittance records upon reasonable prior notice.

Indemnification and Liability

Employer shall indemnify and hold Agent harmless from any claims, liabilities or penalties arising from Employer-provided inaccurate employee data or Employer's failure to timely fund remittances. Agent shall be liable for direct damages caused by Agent's gross negligence or willful misconduct in performing remittance services; in no event shall either party be liable for consequential or punitive damages except for willful misconduct.

Term, Termination and Transition

The term shall commence on the Effective Date and continue until terminated by either party upon thirty (30) days' written notice. Upon termination, Agent will provide final remittance reports and assist with an orderly transfer of remittance responsibility subject to payment of outstanding fees.

Notices, Governing Law and Dispute Resolution

Notices shall be given to the contact information provided below. This Agreement shall be governed by the laws of the state specified in the Governing Law field. Disputes shall be resolved by arbitration unless otherwise agreed in writing.

Employer Contact for Notices

Agent Contact for Notices

Employee Enrollment Information

Provide the employee information for remittance enrollment. If submitting multiple employees, attach additional pages as needed.

Start Date:    Salary/Wage: $

Employment History (Most Recent Two Employers)

From: To:

From: To:

Education

Graduation Date:

References (Professional)

Legal Disclosures and Authorizations

At-Will Employment: Employer and Agent acknowledge that this Agreement does not alter the at-will employment relationship between Employer and any employee unless otherwise specified in a separate signed agreement.

Equal Opportunity: Employer affirms that it complies with equal employment opportunity laws in its employment practices.

Applicant Certification: I certify that all information provided in the Employee Enrollment Information and accompanying sections is true and complete to the best of my knowledge. I understand that any material misrepresentation or omission may result in removal from benefit enrollment and may affect remittance processing.

Authorization to Contact and Background Checks: By signing below, Employer authorizes Agent to contact listed references and, where applicable and permitted by law, to perform background checks necessary to validate employee eligibility for benefits or remittance enrollment. Employer certifies that it has obtained any required consents from employees for the disclosure of personal information to Agent.

Consent to Deductions: Employer represents it has authorization to deduct amounts from employee wages for remittance to benefit providers, tax authorities and other third parties, and will provide Agent with documented authorization when required.

Authorization to Remit: Employer expressly authorizes Agent to remit amounts withheld from employee wages and Employer contributions to the appropriate payees in accordance with Employer instructions and applicable law.

Background Check Consent: Employer confirms that employee consent has been obtained for background checks where applicable.

Miscellaneous

Amendment: This Agreement may be amended only by a written instrument signed by both parties. Severability: If any provision is held invalid, the remainder shall remain in effect. Entire Agreement: This Agreement constitutes the entire agreement between the parties with respect to remittance services.

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