Parties
Full legal names, addresses, and contact details for principal and agent so Paylocity can attribute requests and maintain accurate records.
A clear, well‑completed Power of Attorney prevents delays in payroll and benefits processing and documents who may make personnel or payroll elections. It reduces ambiguity for administrators and creates an auditable authorization record for compliance and internal control purposes.
Organizations and individuals use a Paylocity Power of Attorney to delegate payroll or benefits authority while preserving auditability and operational continuity.
The form helps ensure authorized actions are accepted by Paylocity and recorded for internal review and regulatory retention.
The employee (principal) signs to delegate authority for payroll and benefits tasks. Their signature confirms intent, authorizes the named agent, and establishes the effective date and any limitations on powers granted.
The appointed agent signs to accept responsibility. This signature documents acceptance of designated powers, affirms understanding of scope, and supports attribution in audit logs and access control records.
Full legal names, addresses, and contact details for principal and agent so Paylocity can attribute requests and maintain accurate records.
A clear, itemized list of powers the agent can exercise, such as payroll changes, tax withholding elections, and benefits enrollment options.
Effective and expiration dates or a trigger event to limit authority and simplify revocation and record retention.
Handwritten or electronic signatures with date stamps; include witness or notary lines when state law requires them for validity.
State how the principal may revoke the POA and how Paylocity should be notified to stop agent actions.
Optional fields for government ID numbers or employee ID to aid identity verification during processing.
| Field | Configuration |
|---|---|
| Signature Field | Required, date‑stamped |
| Agent Email Field | Required, validated format |
| Scope Checklist | Conditional fields for selected powers |
| Notary Block | Optional, shown by state |
Ensure the chosen eSignature platform supports audit trails, secure storage, and conditional fields before digitizing the POA.
For sensitive health or payroll authorizations, verify HIPAA support and Business Associate Agreement availability with your vendor and record retention policies.
An MM/DD/YYYY effective date controls when agent actions may be processed.
Submit changes before payroll cutoff to affect the next pay period.
Agent changes must meet plan enrollment windows to be effective for the coverage period.
Allow reasonable processing time once Paylocity receives a revocation to prevent residual actions.
Employment verification records have separate retention rules that may apply when POAs are used.
Principal submits a completed POA and ID verification.
HR or Paylocity verifies identity and scope; requests corrections if needed.
Agent access and permissions are enabled per the effective date.
Signed document and audit trail are archived for retention and audits.
| signNow | DocuSign | Adobe Sign | PandaDoc | HelloSign | |
|---|---|---|---|---|---|
| Starting Price | $8/user/mo | $15/user/mo | $14/user/mo | $19/user/mo | $15/user/mo |
| Free Trial | 7-day free trial, no credit card required | No free trial | No free trial | Yes, limited | Yes, limited |
| Bulk Send | Yes | Yes | Yes | Yes | No |
| Audit Trail | Yes | Yes | Yes | Yes | Yes |
| HIPAA Compliant | Yes | Yes | Yes | No | No |