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THANK YOU for your interest in Staffing & Payroll Alternative. We are committed to offering the best solutions for your business needs. Please take a few moments to fill out the on-line proposal below.

Upon receipt of this information, a SPA representative will contact you to discuss the proposal and the remaining steps necessary to complete the quote process. If you have any questions, please email us, or call (888) 813-8830.

Legal Company Name
Contact Name
Position of Contact
Email Address
Phone Number ( ) -
Fax Number ( ) -
Mailing Address
City
State
Zip Code
Type of Business
How did you hear about SPA?
Number of Employees
Annual Payroll
 

The following is a list of additional information SPA will need to begin the process. Please have this information handy when contacting SPA.

  1. Gross Payroll per pay cycle
  2. Most recent state quarterly unemployment filing with continuations
  3. Three year loss history, including outstanding or threatened litigation or appeals
  4. Current Workers' Compensation Declaration Page
  5. Most current group insurance billing
  6. Copy of "Outline of Benefits" booklet or Summary Plan Description (SPD)
  7. Copy of employee Census listing job function, full or part-time
    (Click here to print an example of an employee census)
  8. A letter authorizing SPA to access information about your companies claims history from NCCI.
  9. A list of other benefits you are interested in offering your employees.

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