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You have indicated that you are an employer interested in more information about outsourcing the W-2 process in your organization. Please complete the form below and one of our customer representatives will be in contact with you soon. All fields marked with an * are required.

*	Name
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*	Company
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*	City
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*	Zip
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*	E-mail
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*	Number of Employees:
*	# of W-2s issued prior year:
	We run payroll in-house and use the following payroll software:
	We outsource our payroll and use the following service provider:
	Do you use outsource other Payroll/HR processes? Yes No
	If so, who do you use?
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