Technology Insurance Associates Referral to Ceridian
Thank you for referring a potential customer to Ceridian. To expedite this process, please complete the required information and a Ceridian representative will contact them. Thank you for your interest in Ceridian.
* Required information
INFORMATION ABOUT COMPANY INTERESTED IN CERIDIAN SERVICES
Company Name:
*
Address:
City:
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State:
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AB
AL
AK
AR
AZ
BC
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
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KS
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MA
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Zip:
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Contact First Name:
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Contact Last Name:
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Contact Title:
Contact Telephone Number:
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Contact Email Address:
Number of Employees:
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How often are employees paid?
Weekly
Bi-Weekly
Monthly
Semi-Monthly
Current Payroll Processing Solution:
ADP
Ceridian
Manual
In-house software
Paychex
Service Bureau
Unknown
Other
Name of Payroll Service Bureau or Software Product: (if applicable)
Additional services referred:
Benefits Administration Services
Retirement Plan Services
HR Comply Services
INFORMATION ABOUT WHO IS REFERRING THIS COMPANY TO CERIDIAN
Ceridian Partner Company:
*
Referrer First Name:
*
Referrer Last Name:
*
Referrer Telephone Number:
*
Referrer Email Address:
*
Comments:
IMPORTANT:
Before submitting, make sure your email address is typed correctly. This will ensure you receive a text copy in your email inbox. For best results,
print a hard copy before submitting
. Once it has been submitted, you will
NOT
be able to retrieve it. If you have any questions, please contact Ceridian's Sales Leads Department at 1-800-729-7655 (option 2).
