Complete RFP Form Below

Your Business or Agency Name *

Your Name (Submitting Producer) *

Producer Email *

Producer Cell Phone *

Your Agency ID #

Your Producer ID #

Enter Client Info Below

Client Company Name *

State of Headquarters *

Company Address *

City *

State *

Country

Country

Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, The Democratic Republic of the
Cook Islands
Costa Rica
Cote D"Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and Mcdonald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic Of
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People"S Republic
Korea, Republic of
Kuwait
Kyrgyzstan
Land Islands
Lao People"S Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia, The Former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova, Republic of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory, Occupied
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania, United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
UK
Ukraine
United Arab Emirates
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
No elements found. Consider changing the search query.
List is empty.

Postal code *

Company Phone Number *

Company EIN *

Company Structure *

Limited Liability Corporation
Sole Proprietorship
Corporation
Partnership
No elements found. Consider changing the search query.
List is empty.

Owners and or Corporate Officers *

Owners and or Corporate Officers Email Addresses *

Select Their Industry *

Accounting Firm
Agriculture
Advertising Agency
Aerospace & Defense
Apparel
Architecture Firm
Automotive
Aviation
Bank
Bars/Nightclubs
Beauty/Cosmetics
Cannabis
Casino
Computer Science
Construction
Country Club
Doctor's Office
E-Commerce
Education
Electronics
Employee Benefits
Energy
Entertainment
Financial Services
Fitness
Food & Beverages
Gas Stations
HealthCare
Hotel Group
Industrial
Insurance Brokerage
Insurance Company
Law Firm
Maintenance
Manufacturer
Marketing Firm
Media
Medical Equipment
Merchant Services
Moving/Storage
Municipality
Non-Profit
Nursing home
Office Supplies
Packaging
Parking garage
Payroll
Pet Care
Pharmaceutical
Press
Private Equity
Property Management
Public Relation
Publishing
Real Estate
Recruiting/Staffing
Religious Organization
Restaurant Group
Retail
Risk Management
Security
Spa
Sports
Supermarket
Technology Company
Telecommunication
Title Insurance
Transportation
Union
University
Waste Management
Wholesaler
Other
No elements found. Consider changing the search query.
List is empty.

# of Full Time W2 Employees *

Health Insurance Provided? *

Yes
No
No elements found. Consider changing the search query.
List is empty.

Does HR Utilize a "Benefit Admin" System? *

Yes - Want To Learn How To Get The Industry's Most Robust Benefit Admin System For Free
Yes- Not Interested In Another
No
No elements found. Consider changing the search query.
List is empty.

Pay Cycle *

Weekly
Bi-Weekly
Semi-Monthly
Monthly
No elements found. Consider changing the search query.
List is empty.

Payroll Manager Full Name *

Payroll Contact Phone *

Payroll Contact Email *

Payroll Company or Software *

Please include any pertinent details that will assist in our follow up with the client

Payroll Census - Must include the date of hire

Must include the date of hire

Payroll Report

Payroll Report - Including 401k, retirement accounts, medical insurance, and wage garnishments

Payroll Report - Anything to support the other reports required

I Consent to Receive SMS Notifications, Alerts & Update Communication from company. Message frequency varies. Message & data rates may apply. Text HELP to (971) 314-4971 for assistance. You can reply OUT to unsubscribe at any time.