2. The Kenton County Payroll Import system is intended to be used by Third Party Administrators (TPA) who are filing in bulk on behalf of multiple clients.  To access this system, TPAs must first submit a request for credentials.  XML specifications, Users Guide, ACH Credit Form and other details are available via the test website here: https://testpayroll.kentoncounty.org/login
    
    To request access to the test system, please complete the form below:

4. Name of Third Party Administrator (TPA)
6. FEIN of TPA
7. Email address to be used for System Access
9. Contact Name
10. Contact Title
12. Contact Email
13. Contact Phone
15. Address Line 1
17. Address Line 2
19. City
20. State
21. Zip

23. Please direct any questions to business.services@kentoncounty.org

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25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit

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