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Broker/Reseller Form
Learn More About Becoming a Ceridian Broker or Reseller
Interested in becoming a Ceridian payroll or human resources services reseller or broker? Complete this form to receive more information.
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Learn More About Becoming a Ceridian Broker or Reseller
Today's Date
11/20/2009
I'm a
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Broker/Reseller
CPA
Consultant
Partner
Primary focus of my practice
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HR Processes
Health Care Benefits
Other:
Company Name
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Address 1
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Address 2
City
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State
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Choose state
AL
AK
AR
AZ
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MO
MS
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VA
WA
WI
WV
WY
Zip
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Number of Employees:
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Contact First Name
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Contact Last Name
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Contact Title
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Contact Telephone Number
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Contact Email Address
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Are you currently working with a Ceridian representative?
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Yes
No
If so, who?
First Name
Last Name
City
Please select your primary area of interest
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Human Resources Management
(HR/Payroll, Employee Self-Service, Human Resources Outsourcing/HRO)
Payroll Processing & Tax Filing
(HR/Payroll, Integrated or Standalone Tax Service, W-2 Services)
Payment Solutions
(PayCards, Direct Deposit, Official Checks, Wage Attachments & Disbursements, Stored Value Cards)
Employee Benefits Administration
(Health & Welfare, COBRA & HIPAA Administration, Domestic Relations Order Administration, Pre-tax Benefits Administration)
Employee Assistance Programs
(Work-Life Services, Critical Incident Management, Concierge Services, Elder & Adult Management, Backup Care Services)
Corporate Health & Wellness Programs
(Disease Management; Health & Productivity Incentives; Health Assessments, Consultations & Coaching; Onsite Health Services)
Employee Retention & Productivity
(Human Capital Management, Rewards & Recognition, Training/E-Learning, Leave Administration, DOT Compliance, Violence Prevention)
Time & Labor Management
(Time & Attendance Solutions)
Compliance Resources & Services
(Compliance Reference Systems, Harassment & Discrimination Prevention Training, Employment Law Manuals & Posters)
Recruitment & Screening Services
(Recruiting Automation, Employment Screening, Recruitment Process Outsourcing/RPO)
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