PEO Defined
About Us
Executive Team
Testimonials
News
Employee Benefit Services
Human Resource Services
FAQ’s
Submit a Referral
RFP
Tools
Free Resources
Cost of Labor Calculator
Franchises
Contact
REQUEST FOR PROPOSAL
Step 1 of 6
16%
Business Information
Contact first name
Contact last name
Contact title
Contact Phone
Contact Email
Address
Who Referred You
Legal name
DBA
FEIN
Years in Business
Number of Employees
Description of Operations
Current Vendors
Current Payroll/PEO Vendor
Current Workers Comp Carrier
Workers Comp Experience Mod
Company Risk
How many Company Vehicles?
How many drivers?
What type of Company Vehicles?
What is the radius of the drivers?
How many 1099's/Independent Contractors
Workers Comp Payroll Information
Untitled
State
WC Code
Employees
Annual Payroll
State Unemployment Rate
Edit
Delete
There are no
Workers Comp Payroll Information.
Add Workers Comp Payroll Information
Enter information below
State
WC Code
Employees
Annual Payroll
State Unemployment Rate
Documents
PEO Invoices (If Applicable)
Workers Comp Dec Page
Workers Comp Loss Runs
Please attach the last 3 years of your Workers Comp Loss Runs.
Workers Comp Loss Runs
Payroll Register
Medical Census (If applicable)
Medical Invoice (If applicable)
Medical Renewal (If applicable)
Medical Plan Summaries (If applicable)
12 Months Medical Claims History (If applicable)
Miscellaneous document
This iframe contains the logic required to handle Ajax powered Gravity Forms.
State
WC Code
Employees
Annual Payroll
State Unemployment Rate
This iframe contains the logic required to handle Ajax powered Gravity Forms.
