Employee Information & Inquiry Form

Employee Information and Inquiries

Submit this form for: -Payment method change -Loss of pay card -Change of name, address, direct deposit, etc You will be contacted via email. Please ensure your inbox is not too full to receive new mail. Thank you in advance!

Name of Person Submitting Form:*
First Last
Date:*
MM slash DD slash YYYY
Location:*
Employee (if you are submitting on behalf of someone else):
First Last
Phone #*
Email*

We will use this address to respond to any questions or to supply log-in information.
Reason For Submitting Form:*
If you need help with logins or access changes, submit the "User Account Help" form instead.
Did you call RapidPay and cancel your card?
If you cancelled your card through RapidPay, we will NOT be able to reissue a replacement card from our supplies in the office. You will be mailed a new card from RapidPay, which usually takes 7-10 business days. IF YOU DID NOT - then we can cancel and re-issue a new card on your behalf and get it to you within 2 business days.
Is this a Checking or Savings account?*
If you'd like to do a portion of your check on this new account, please describe the breakdown in the notes section. You can elect to put a % of your check into an account or a flat $ amount.
Name of Bank:
Routing Number:*
Account Number:*
Confirm Account Number:*
You must upload an image of any banking document verifying your account information. This can be a voided check, deposit slip, or a notice from your bank. HANDWRITTEN NOTES WILL NOT BE ACCEPTED.*
** Please Note: if your routing or account number cannot be verified, you risk your deposit bouncing back from a faulty account, which can take up to a week to be redeposited.
Drop files here or

Max. file size: 200 MB.
Question/Comment Regarding Payment:
BE AS SPECIFIC AS POSSIBLE.
Former Name:
New Name:
Previous Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
New Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Please explain your inquiry:
Lost Pay Card
Once we receive notice, we will reissue you a new pay card and transfer current funds to the new card within 2 business days. If you need to put an immediate stop payment, you will need to contact RapidPay Card at 1-888-828-2270 and press 5. (NOTE: If you CANCEL your card through RapidPay, we will not be able to transfer your funds and reissue you a card ourselves. You will be mailed a new card directly from Rapid Pay, which usually takes 7-10 business days. If you need your replacement card sooner, please ONLY request a stop payment and allow the Noodle Team to cancel and reissue your card.)
Accessing Your ProLiant Account
Go to https://www.readypayonline.com/Proliant/Login/Login.aspx to log in. → Your username and password are what you created in the initial set up of your electronic onboarding at the time of your hire and/or orientation. → To RESET YOUR PASSWORD, please use the forgot password link provided on the login screen. → To OBTAIN YOUR USERNAME, continue to submit this form. → Please allow up to 48 hours to be contacted with your login information.
To Change Your Name
PLEASE NOTE: In order to change your name on our internal documents, you must provide an updated Social Security Card with the new name listed. We also request an updated List B Document for the I-9 form (driver's license, photo identification card, etc) that must also include your updated name. We will provide you with the appropriate tax documents you will need to resubmit with your name change.
NOTES: Anything else we should know?

Employee Information and Inquiries

Lost Pay Card

Accessing Your ProLiant Account

To Change Your Name