Skip to the content
Home
About Us
Employee Discounts
Contact Us
Resourceful Forms
Timekeeping
Call US (951) 281-8011
Home
About Us
Employee Discounts
Contact Us
Resourceful Forms
Timekeeping
Home
About Us
Employee Discounts
Contact Us
Resourceful Forms
Timekeeping
New Client Information
Please enable JavaScript in your browser to complete this form.
Company Information
Legal Company Name
*
DBA Name
*
FEIN
*
Company Address
Address Line 1
Address Line 2
City
--- Select 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
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Payroll Schedule
weekly
bi-weekly
semi-monthly
monthly
# 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
Drag & Drop Files,
Choose Files to Upload
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
Please enable JavaScript in your browser to complete this form.
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
*
Clear Signature
For mobile phones, and tablets use your finger to draw your signature.
Submit
CLOSE
