Contact Information |
Please fill in the information about you and your company. Complete all questions unless noted optional. |
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All indicated fields must be completed.
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* Company Name: |
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* Contact Person: |
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* Street Address: |
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* City: |
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* State: |
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* Zip Code: (ex: 55555) |
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* Phone Number |
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* Fax: |
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* Email Address |
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Who is Your Pinnacle Sales Representative?: |
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We realize no two businesses are alike so we offer a wide range of services that can be tailored to serve the varied needs of your specific business and your employees. |
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Detailed Description of Business: |
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Years in Business |
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What is your State Unemployment Tax rate? |
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% |
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Please tell us about your employees Please use one line for each different job type and location |
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We process your payroll and handle all the paperwork, verify timesheets, calculate deductions, record and distribute payroll. We make calculations and deposits for FICA, Federal, state and local taxes.We file all required forms, including 940's, 941's and W-2's. Imagine all the time you'll save! |
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What
is your payroll cycle preference? |
Weekly
Bi-Weekly
Semi-Monthly
Monthly |
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What is your pay date preference? |
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In addition to standard payroll reports, do you need custom payroll reports? (Check all that apply) |
Certified
Departmental / Labor
Job Costing |
Do you currently outsource your payroll? |
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Workers' Compensation
Don't Risk It |
Your rates for workers' compensation vary with the type of work your employees perform, claims experience and your safety record.
At Pinnacle PEO, we believe in working with you to prevent accidents before they occur. We have risk consultants to help you identify potential hazards and recommend safety programs such as: |
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Who is your current workers’ compensation insurance company? |
If no coverage
please type "none" |
Do you use subcontractors?
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Please select the benefits below that you
would like offered
to employees at
your company. |
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Accidental Death & Dismemberment Insurance |
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