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Sliding Page Form

DESCRIBE YOUR BUSINESS
Choose all that apply
- We hire people
- We provide health insurance for employees
- We use a PEO for HR, Benefits, or Payroll
- We pay for telephone service
- We accept electronic payments
- We pay workers compensation insurance
- We own or lease commercial property
- We pay for waste and/or recycling
- We ship small parcels
- We work to improve our processes

NEW HIRE INCENTIVES
Does your company hire employees?
- YES
- NO
- UNKNOWN
Enter your estimated new hires per year, including replacements.
Hidden
New Hire Tax Incentives
(HTI)

EMPLOYEE RETENTION
Were your business operations suspended in full or partially at any point in 2020 due to COVID-19?
- YES
- NO
- UNKNOWN
Did your gross receipts fall to less than 50% (as compared to the same quarter in 2019) during any quarter in 2020?
- YES
- NO
- UNKNOWN
Enter number of current employees.
Hidden
Employee Retention Tax Incentives
(ETI)

COMMERCIAL PROPERTY
Do you own commercial property?
- YES
- NO
- UNKNOWN
Enter the Total Construction/Purchase Cost
Hidden
Commercial Property Tax Incentives
(PTI)

RENOVATION
If you own or lease commercial property, have you completed more than $250K in renovations?
- YES
- NO
- UNKNOWN
Enter Total Renovation Cost
Hidden
Renovation Cost Savings
(RCS)

PROPERTY TAX
Are your commercial property taxes more than $30K a year?
- YES
- NO
- UNKNOWN
Enter Annual Real + Property Taxes
Hidden
Property Tax Reduction
(PTR)

WORKERS COMPENSATION
Are your workers comp premiums over $40K a year?
- YES
- NO
- UNKNOWN
Are you self insured?
- YES
- NO
- UNKNOWN
Enter your annual workers comp premiums
Hidden
Workers Comp Audit Overpayment
(WCO)

HEALTH INSURANCE
As an employer, do you spend $1MM or more annually on health insurance?
- YES
- NO
- UNKNOWN
Do you have at least 100 lives (individuals covered) on your health plan?
- YES
- NO
- UNKNOWN
Enter total amount paid last year in health insurance
Choose whether you are
- Fully-Funded
- Self-Insured
- Level-Funded
- Directly Contracted
Hidden
Health Insurance Reduction
(HIR)

PEO SAVINGS
Do you partner with a PEO?
- YES
- NO
- UNKNOWN
Enter # of current employees
Hidden
PEO Provider Savings
(PEO)

WASTE REMOVAL
Does your waste or recycling bill exceed $300 a month?
- YES
- NO
- UNKNOWN
Enter your monthly waste and recycling expense
Hidden
Waste/Recycling Savings
(WRS)

ELECTRONIC PAYMENTS
Does your company accept credit cards or debit cards?
- YES
- NO
- UNKNOWN
Enter estimated amount processed per year
Are the majority of your electronic payments Swiped or Not Swiped
- Swiped
- Not Swiped
Hidden
Electronic Payment Savings
(EPS)

SHIPPING
Do You Spend at least $50,000 Annually in small parcel shipping (packages, boxes, envelopes)?
- YES
- NO
- UNKNOWN
Enter the estimated amount you spend with FedEx, UPS, and DHL:
Estimate the percent (%) of domestic versus international parcel shipments.
Domestic
International
What percent (%) of your shipments are for residential versus commercial?
Residential (B2C)
Commercial (B2B)
Estimate the last time you completed a rate review with FedEx or UPS?
- Recently
- 1 yr.
- 2 yr.
- 3 yr.
Hidden
Shipping Fee Overpayment
(SFO)

BUSINESS TELEPHONES
How many physical phones does your business have?
Do you have regular land lines or hosted VOIP?
- YES
- NO
- UNKNOWN
Do you have any fax or alarm lines?
- YES
- NO
- UNKNOWN
What are your monthly phone expenses?
Hidden
Business Telephones Savings
(BTS)

PROCESS AUTOMATION
Do your employees perform repeatable computer tasks such as data-entry, copying & pasting info, filling out forms, merging data) ?
- YES
- NO
- UNKNOWN
Estimate how many employee hours are spent daily on repeatable computer tasks (admin, compliance, clerks, etc.)?
Estimate the average wage per employee preforming these repeatable computer tasks.
Hidden
Process Automation Savings
(PAS)

PAYROLL TAX CREDITS
Does your company operate within any of the following industries?
- YES
- NO
- UNKNOWN
Aerospace

Life Sciences

Agriculture

Mechanical Contracting

Apparel & Textiles

Metals

Architecture

Oil & Gas

Biotechnology

Plastic Mold Injection

Brewing & Distillery

Semiconductor Electronics

Chemical

Shipbuilding

Electrical Contracting

Software Developing

Electronics

Telecommunications

Engineering

Tool & Die

Food Processing

Waste Management

Furniture & Cabinet MFG

Winemaking

General Contracting
Is your annual payroll $250K or more?
- YES
- NO
- UNKNOWN
Estimate Annual Payroll Expense
Did you have any revenue prior to 2015?
- YES
- NO
- UNKNOWN
Hidden
Payroll Tax Credit Savings
(PTC)

POTENTIAL SAVINGS
Hidden
TOTAL ESTIMATE SAVINGS
Federal Codes/Service Provider
(*LINK)
Reference

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