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PEOshop.com is a national network of trained PEO Brokers and reputable
PEO partners.
Why Wait? You Have Absolutely Nothing To Lose!
Never an obligation on your part
No cost to you, only a marginal fee to the winning PEO
Save time by completing one RFP, and we'll do the rest
Option 1
Complete our online form below.
We'll give you a call in the next 24-48 hours...
Option 2
Print and complete our RFP off-line.
Request for Proposal (RFP) Interview Form. * New "fill-in" form
Or send us a copy of an RFP or PEO questionnaire you've already completed.
In addition to the RFP, we need the following e-mailed or faxed to us:
Current declaration page from current work comp policy
Last three years of work comp "loss runs"
A SUTA report or your annual rate notice indicating current rate.
upload info info@insuranceshopllc.com 888-583-3110 Fax
* Some PEO's may require additional data for employee benefits
* RFP requires the free Adobe Acrobat Reader to view and print
Pricing Request:
*Your Name:
*Email Address:
*Company Name:
Tax I.D. or Social :
Business Entity Type:
C-Corporation S-Corporation LLC Partnership Sole-Proprietor LLP/Other
Company Address:
Company Web Site:
Business Description:
*Phone:
Fax:
*US State:
-- Please Choose a State -- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Non-US
About Your Company:
*Number of Employees:
Work Comp Code(s):
The 4 digit number(s) listed on your workers' compensation certificate, such as "8810 - clerical"
Please leave field empty if you don't know your code(s).
Work Comp Modifier:
If Known
Gross Payroll:
Per Week Month Year
Gross Payroll--
Per Work Comp Codes:
Code 1: Payroll/Code1:
Code 2: Payroll/Code2:
Code 3: Payroll/Code3:
Code 4: Payroll/Code4:
Code 5: Payroll/Code5:
Code 6: Payroll/Code6:
Current Pay Cycle:
Weekly Bi-Weekly Semi-Monthly Monthly
Current SUTA Rate:
State Unemployment Tax Rate (%)
Benefits of Interest:
Health Insurance Dental Insurance Life Insurance Vision Insurance 401(K) Retirement Plan Pre-Tax Cafeteria 125 Plan No Benefits
Additional Comments/Questions:
I have read, understood and agree to be bound to the Terms of Service
A SUTA report or your annual rate notice indicating current rate
info@insuranceshopllc.com
888-583-3110 Fax
EMPLOYEE LEASING DEFINED
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