Payroll Services for PNC Customers

To refer a customer to the PNC/Paychex Payroll Referral Program, please complete the form below. Thank you.

All fields are required unless specified otherwise.

Bank and Referring Employee Information

Employee First Name

(as listed in the PNC Directory)

Employee Last Name

(as listed in the PNC Directory)

Employee Logon ID

(example: PH12345)

Employee Phone

Employee Email

Branch Name

Branch EE or Business Banker?

Additional Referring Employee

Sales Rep Information

Rep First Name

Rep Last Name

Prospect Information

First Name

Last Name

Title

Phone

Legal Entity

Business Address

ZIP Code

Customer has given approval for referral and acknowledges they have the authority to provide the contact information.

Contact Banker Prior to Sales Call?

Yes

What product areas interest the prospect?

Payroll Services

401(k) Services

(Select all that apply.)

Does the prospect currently have a 401(k) plan?

Yes

Additional Information

Comments