Get a Quote Contact Information Please fill in the information about you and your company. Complete all questions unless noted optional. Company Name   Contact Person   Contact Title Street Address   City   Postal Code Phone     Fax     Email   Website: http:// A/P Contact   A/P Contact Phone   WCB Policy No. Other Contacts: Name   Title   Phone Name   Title   Phone Name   Title   Phone Company Information We realize that no two businesses are alike so we offer a wide range of services that can be tailored to serve the varied needs of your specific business and your employees. Type of Business      Years in Business      Workers Compensation Coverage?  Yes No Detailed Description of your Business: Payroll We process your payroll and handle all the paperwork, verify time sheets, calculate deductions, record and distribute payroll. What is your annual payroll?  What types of payroll do you have?   Hourly  Salary  Commission Payroll Cycle Preference  Weekly Bi-Weekly Monthly Semi-Monthly Pay Date Preference  Sunday Monday Tuesday Wednesday Thursday Friday Saturday What is your current pay method?  Cheque Direct Deposit Other (please explain)  Your Provincial E.I tax rate  In addition to standard payroll reports, do you need custom reports?  Yes No Do you currently out source your payroll?  Yes No If yes, to whom?  First Payroll Input/Live Date  (YYYY-MM-DD) Cheque/Payment Date   Pay Period Ending Date  Workers' Compensation Your rates for workers' compensation vary with the type of work your employees perform, claims experience and your safety record. At Sparta Group, we believe in working with you to prevent accidents before they occur. We have risk consultants to help you identify potential hazards and recommend safety programs such as: Do you use subcontractors?  Yes No  When does your current policy expire?  (YYYY-MM-DD) Do you require a background check?  Yes No  Do you require a Drivers Abstract?  Yes No  Do you require drug testing?  Yes No Employee Benefits Please select the benefits below that you would like offered to employees at your company.  MSP   Medical Extended   Vision Insurance   Dental Insurance   Pharmacy Insurance   Life Insurance   Accidental Death & Dismemberment Insurance   Short-Term Disability   Long-Term Disability Your current employee benefits are:  100% Company Paid 100% Employee Paid 50% Company / 50% Employee Paid Do your employees have current RRSP/pensions?  Yes No Do you currently do:   Employee Annual Performance Reviews   Annual Attendance and Wage Analysis   Confidential H.R. Reporting Avenues for Employees

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