Franklin Employer Solutions

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Florida Association of Professional Employer Organizations

Your Needs Analysis!

Franklin Employer Solutions, inc. welcomes the opportunity to provide you a NEEDS ANALYSIS – our goal is to become a Resource for your business – NOT just another vendor.

Completing the form below is the first step in the NEEDS ANALYSIS process. It allows us to learn more about your company, helps us determine what administrative challenges you may be facing and how we may be able to help.

Once we receive the completed form, we will contact you within 24 hours to discuss a formal proposal.

ALL INFORMATION PROVIDED IS STRICTLY CONFIDENTIAL AND WILL NEVER BE SHARED WITH ANYONE OUTSIDE OUR COMPANY.

Of course, please also feel free to Contact Us directly if we can be of any assistance.

COMPANY INFORMATION

Legal Business Name
(and d/b/a) of applicant:

Contact Name:

Street Address:

City:

State:

Zip:

Telephone:

Fax:

E-mail Address:

Type of Entity:

Federal ID#:

PAYROLL, WORKERS' COMPENSATION AND EMPLOYEE INFORMATION

Present Workers' Compensation Carrier:

Current Payroll
Processed by:

In-house Payroll Company Leasing Company

Payroll or Leasing
Company:

Pay Cycle:

Weekly
Monthly

Bi-Weekly
Semi-Monthly

# of Employees	Description	Workers' Compensation Classification Code	Annual Payroll

BUSINESS DESCRIPTION

Years in Business:

Standard Industry Classification Code
(if known):

Description of Operations: