Welcome To Custom Payroll Solutions
Local | 352 | 490-6442
Toll Free | 877 | 780-5008
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Powerful, Practical, Payroll Solutions
Powerful, Practical Payroll Solutions

Custom Payroll Solutions, Inc.
"Representing over 30-Professional
Employer Organizations"

6891 NW 88th Lane
Chiefland, FL 32626
Local: 352-490-6442
Toll Free: 877-780-5008
Fax: 352-490-6411

email: C.P.S.



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COMPANY INFORMATION:
Company Name *
Address *
First Name * Last Name *
Phone * Fax
E-Mail * # of Employees
City * Years in Business
State *
Zip Code *
Type of Business *
Special Needs

Tell Us About Your Worker's Compensation Insurance Policy Needs:
 
Classifications:            
Example Job Description Manager Payroll Per Period $5,000 Number of Employees 10
#1 First Description #1 Payroll Amount #1 Number of Employees
#2 Second Description #2 Payroll Amount #2 Number of Employees
#3 Third Description #3 Payroll Amount #3 Number of Employees
#4 Fourth Description #4Payroll Amount #4 Number of Employees
#5 Fifth Description #5 Payroll Amount #5 Number of Employees
# Claims Last Year          

Tell Us About Your Employee Benefits:

Do You Currently Provide Benefits To Your Employees?

Benefits You Provide

Medical





Other Benefits Provided

Do you sponsor All/Portion of Employee's Cost?

 

  
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