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    HR Services Request For Quote

    Uploaded by

    Sandeep Misra
    HR Services Request for quote Thank you for your interest in requesting a quote for services from Trendsetter HR. Please fill out as much information as possible below and fax this form to 469-402-0248. Additional information beyond that requested here may be required to provide an accurate quote for services.

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    Attribution Non-Commercial (BY-NC)
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    HR Services Request For Quote

    Uploaded by

    Sandeep Misra
    72 views5 pages
    HR Services Request for quote Thank you for your interest in requesting a quote for services from Trendsetter HR. Please fill out as much information as possible below and fax this form to 469-402-0248. Additional information beyond that requested here may be required to provide an accurate quote for services.

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    Original Title

    279_QuoteRequest_TS

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    HR Services Request for quote Thank you for your interest in requesting a quote for services from Trendsetter HR. Please fill out as much information as possible below and fax this form to 469-402-0248. Additional information beyond that requested here may be required to provide an accurate quote for services.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    72 views5 pages

    HR Services Request For Quote

    Uploaded by

    Sandeep Misra
    HR Services Request for quote Thank you for your interest in requesting a quote for services from Trendsetter HR. Please fill out as much information as possible below and fax this form to 469-402-0248. Additional information beyond that requested here may be required to provide an accurate quote for services.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 5

    5133 S FM 549

    Rockwall, TX, 75032


    www.trendsetterhr.com
    (214) 553-5505 (Ph), (469) 402-0248 (Fax)
    HR Services Request for Quote
    Thank you for your interest in requesting a quote for services from Trendsetter HR. In order to get your
    quote started, please fill out as much information as possible below and fax this form to 469-402-0248.
    Please note: Additional information beyond that requested here may be required to provide an accurate quote for services.

    Contact Name ___________________________________________________


    Contact Email ___________________________________________________
    Contact Title ___________________________________________________

    Contact Phone ____________________ Contact Fax _________________


    (Trend Use Only)
    Date ____________________ Reference # _________________

    Referral Name ___________________________________________________

    Company Name ___________________________________________________


    Company Website ___________________________________________________
    Company Address ___________________________________________________
    Company City ___________________________________________________
    State _____________________ Zip Code _________________

    Owner Name ___________________________________________________


    Business Phone _____________________ Business Fax _________________

    Copyright © 2010, Trendsetter HR Services 1


    Services of Interest
    Workers Comp Coverage
    Payroll & Tax Administration
    Medical & Dental Coverage
    Life Insurance Coverage
    Safety & Risk Consulting
    Human Resource Consulting
    Employee Management

    Fed Tax ID _______________ Years in Business _________________


    Nature of Business ___________________________________________________

    ___________________________________________________

    ___________________________________________________

    ___________________________________________________

    ___________________________________________________

    ___________________________________________________
    Business Locations List all company locations

    __________________________________________________

    __________________________________________________

    __________________________________________________

    __________________________________________________

    __________________________________________________

    __________________________________________________

    Copyright © 2010, TrendsetterHR Services 2


    Operating Entities If you have multiple operating entities, list each one here

    __________________________________________________

    __________________________________________________

    __________________________________________________

    __________________________________________________

    __________________________________________________

    __________________________________________________

    __________________________________________________

    __________________________________________________

    __________________________________________________
    Number of FTE’s Number of full time employees
    ________________________
    Number of part time employees
    ________________________

    Texas SUTA Rate ___________________________________________________


    Payroll Frequency
    Weekly
    Bi-Weekly
    Monthly
    Semi-Monthly

    Pay Period Begins __________________________________________________


    st
    For example, “Monday” or “1 day of the Month”

    Pay Period Ends __________________________________________________


    For example, “Sunday” or “Last day of the Month”

    Copyright © 2010, TrendsetterHR Services 3


    Pay Date __________________________________________________
    th
    For example, “Friday” or “15 and Last Day of the Month”

    Employee WC Class State Code Position / Job # Emps


    (Enter the number of
    EE’s for each class _________ ________ ____________________ _________
    code in the company)
    _________ ________ ____________________ _________

    _________ ________ ____________________ _________

    _________ ________ ____________________ _________

    _________ ________ ____________________ _________

    _________ ________ ____________________ _________


    WC Deductible ___________________________________________________
    Current WC deductible

    WC Policy Renewal
    Date ___________________________________________________
    Date client company WC policy renews

    Health Deductible ___________________________________________________


    Current health deductible

    Health Copay ___________________________________________________


    Current health plan copay

    Health Renewal Date ___________________________________________________


    Current health plan copay

    Copyright © 2010, TrendsetterHR Services 4


    Check if any of the Current Safety Manual (If they have a safety manual and/ or written
    documents below is safety policy)
    provided
    Background Check Policy (If they conduct pre/post employment
    background checks on new hires for high hazard jobs, a copy of the
    program or policy

    Recent Health / Ins. Bills (If there is a documentation of recent health


    and/ or supplemental insurance bills)

    Employee Census (A copy of health insurance census showing


    employees and dependents)

    Your Name (Person


    Filling Out Form) ___________________________________________________
    Your Signature ___________________________________________________

    Please fax this entire form to our PEO Sales fax-to-email number:

    469-402-0248

    Copyright © 2010, TrendsetterHR Services 5

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