I acknowledge the importance of being able to print your employee's paycheck in QBO accordingly to secure an accurate copy of its details, jglover57.
Since you're encountering an issue while accessing the printing setup for paychecks, I recommend clearing your browser's cache and cookies. Excessive build-up of browsing data can impact your experience when using QuickBooks, especially when it gets outdated. Deleting them can help the platform regain its full capacity.
If the problem persists, it's best to consider using another supported browser to narrow down the result. Then, once you can re-access the printing settings, you can open this link to help you resolve the printing layout for your paychecks: Fix print alignment for paychecks.
I'm also attaching an article that can help you once it's time to submit and pay your forms and taxes through QBO: Pay and file payroll taxes and forms electronically in payroll.
If there's anything else that we can help you with, please revisit this thread.