Request a Quote

You can put the power of Trion Solutions to work for your company – the power to reduce risk. To save money. To recruit better employees. To deliver better benefits. To reduce administration overhead. To cut administrative hassle.

In short, the power to succeed.

Trion Solutions will be pleased to prepare a no-obligation quotation for our comprehensive outsourcing program, or for the specific suite of services you require. Just take a few moments to provide us with some basic background information about your company and your needs, and a Trion Solutions specialist will prepare a customized quotation.

So that we can provide you with the most accurate quote and highest level of service, please complete all applicable fields and supply all necessary documentation.

Fields Marked with an "*" are required

Company Information

*Legal Business Name (Include DBA)

*Contact Name

*Phone Number

*Your Email

*Street Address

*City

*State *Zip

State Unemployment Information

Attach a current year Tax Rate Determination. Note: If you operate in more than one State, attach determinations for all applicable states.

State Current Rate:

Upload Determination:

Add another State? Yes

State #2 Current Rate:

Upload Determination:

Add another State? Yes

State #3 Current Rate:

Upload Determination:

Add another State? Yes

State #4 Current Rate:

Upload Determination:

Add another State? Yes

State #5 Current Rate:

Upload Determination:

Add another State? Yes

State #6 Current Rate:

Upload Determination:

Add another State? Yes

State #7 Current Rate:

Upload Determination:

Add another State? Yes

State #8 Current Rate:

Upload Determination:

Add another State? Yes

State #9 Current Rate:

Upload Determination:

Add another State? Yes

State #10 Current Rate:

Upload Determination:

Add another State? Yes

State #11 Current Rate:

Upload Determination:

Add another State? Yes

State #12 Current Rate:

Upload Determination:

Need even more states? Give us a call at 800.681.WORKS

Workers' Compensation Information

Please attach a current-year Workers' Compensation Declaration Page

Job Title:

Code

State

Workers' Comp Rate

Number of employees

Annual Payroll

Add another entry? Yes

Job Title:

Code

State

Workers' Comp Rate

Number of employees

Annual Payroll

Add another entry? Yes

Job Title:

Code

State

Workers' Comp Rate

Number of employees

Annual Payroll

Add another entry? Yes

Job Title:

Code

State

Workers' Comp Rate

Number of employees

Annual Payroll

Add another entry? Yes

Job Title:

Code

State

Workers' Comp Rate

Number of employees

Annual Payroll

Add another entry? Yes

Job Title:

Code

State

Workers' Comp Rate

Number of employees

Annual Payroll

Add another entry? Yes

Job Title:

Code

State

Workers' Comp Rate

Number of employees

Annual Payroll

Add another entry? Yes

Job Title:

Code

State

Workers' Comp Rate

Number of employees

Annual Payroll

Add another entry? Yes

Job Title:

Code

State

Workers' Comp Rate

Number of employees

Annual Payroll

Add another entry? Yes

Job Title:

Code

State

Workers' Comp Rate

Number of employees

Annual Payroll

Add another entry? Yes

Job Title:

Code

State

Workers' Comp Rate

Number of employees

Annual Payroll

Add another entry? Yes

Job Title:

Code

State

Workers' Comp Rate

Number of employees

Annual Payroll

Need even more entries? Give us a call at 800.681.WORKS

General Information

Do you use a payroll service?

Attach Invoice:

If yes, what are the monthly fees?

Payroll Frequency?

Employee Benefit Information

Do you currently offer a 401(k) Retirement Plan? YesNo

Do you currently offer a Section 125 Cafeteria Plan? YesNo

Attach a plan description or recent invoice

Attach a current census

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