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Home
About Us
Employee Discounts
Client/Employee Portal
Contact Us
Resourceful Forms
Timekeeping
Home
About Us
Employee Discounts
Client/Employee Portal
Contact Us
Resourceful Forms
Timekeeping
New Client Information
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Company Information
Legal Company Name
*
DBA Name
*
FEIN
*
Company Address
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Address Line 2
City
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State
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Payroll Schedule
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# of Owners on payroll (if any)
*
# of Employees Currently on payroll
*
Annual Payroll Amount
*
Contact Information
Name
*
First
Last
Phone
*
Email
*
Business Website
Loss Runs Doc
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List Departments / Services you have in your Company
Payroll Services
Human Resources
Employee Benefits
Risk Management
Insurance (GL, E&O, Workers Comp)
Department/Organization
*
Date
*
Who can we thank for referring you to us?
Submit
Mutual Arbitration Agreement
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I
*
First
Last
Date
*
Acknowledgement
*
I acknowledge that I have read and that I understand the Arbitration of Disputes policy. I further understand that the agreement to arbitrate may not be waived without a written document signed by both myself and the Company. If for any reason the Federal Arbitration Act (FAA) is deemed inapplicable to this Mutual Arbitration Policy, then and only then Arbitration will be governed by the California Arbitration Act, Code of Civil Procedure section 1280 et. seq. In such circumstances, I have the right to refuse to proceed to Arbitration. There will be no adverse consequences if I choose not to agree to Arbitrate any employment-related disputes as outlined above under the California Arbitration Act. If the Federal Arbitration Act (FAA) is deemed to be inapplicable and I still desire to proceed to Arbitration, If the Federal Arbitration Act (FAA) is deemed inapplicable, I AGREE to proceed to Arbitration
I acknowledge that I have read and that I understand the Arbitration of Disputes policy. I further understand that the agreement to arbitrate may not be waived without a written document signed by both myself and the Company. If for any reason the Federal Arbitration Act (FAA) is deemed inapplicable to this Mutual Arbitration Policy, then and only then Arbitration will be governed by the California Arbitration Act, Code of Civil Procedure section 1280 et. seq. In such circumstances, I have the right to refuse to proceed to Arbitration. There will be no adverse consequences if I choose not to agree to Arbitrate any employment-related disputes as outlined above under the California Arbitration Act. If the Federal Arbitration Act (FAA) is deemed to be inapplicable and I still desire to proceed to Arbitration, If the Federal Arbitration Act (FAA) is deemed inapplicable, I AGREE to proceed to Arbitration
Signature
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Clear Signature
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