Request for Proposal

To make sure that you have all the information that you will need, we recommend that you take a careful look at this entire form before beginning to work on it.

1. General Information

Company Name:

Contact Name:

Contact Title:

Address:

City:

State:
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Zip Code:

Phone:

Fax:

E-mail:

Web Site:

Business Type:

Federal Tax ID:

SIC:

Number of Locations:  

Number of Entities:  

2. Employee Information

Number of Full-Time Employees:  

Number of Part-Time Employees:  

3. Payroll Information

Payroll Cycle:     weekly bi-weekly semi-monthly monthly  

Do you have a payroll company?   Yes   No

If yes, who:

Are you using a PEO?   Yes   No

Annual Payroll Cost:

Annual Gross Wages:

State Unemployment Rate:   %

Using time clocks?   Yes   No

4. Workers' Comp Information

Comp Code Classification	% Per $100 of Payroll	Description	Gross Annual Payroll	Number of Employees

Comments:

Lanier Upshaw Business Solutions
8875 Hidden River Parkway, Suite 560
Tampa, Florida 33637
877-324-7297

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