First Place Employer Services,LLC One Source...Many Solutions

First Place Employer Services, LLC
4501 Manatee Avenue West # 122
Bradenton, FL 34209

PHONE: (877) 6-FIRSTPLACE
(877-634-7787)
CELL: (941) 266-7068
FAX: (941) 761-5804

E-mail us: info@1stPlacEmployer.com

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If you fill out the form below, we will respond back to you quickly with a complete price quote. We will be happy to spend whatever time it takes to review our quote with you.

There is absolutely no cost or obligation involved in obtaining a quote from us.

Company Information Section
Company Name:
Contact Name:
Company Address:
Company City:
Company State:
Company Zip Code:
Phone Number: (Numbers Only)
Fax Number: (Numbers Only)
Your Email Address:
Years In Business:
Payroll Information Section
Classification Code	Description	No. of Employees	Annual Payroll	Rate Per $100





Present Workmen's Comp Provider:
Payroll Is Processed:	In House Payroll Company Employee Leasing Company Other
Payroll Processor Name: (if applicable)
Pay Cycle:	Weekly Bi-Monthly Semi-Monthly Monthly Other
Do Employees Have Employee Benefits?	Yes No
If No, would you like information on affordable benefits?	Yes No
If Yes, benefit type:	Health Dental Aflac Vision Pre-paid Legal Other