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NOTICE OF PROFESSIONAL EMPLOYER AGREEMENT The undersigned Professional Employer Organization (PEO “) hereby serves notice to its Workers Compensation Insurance Carrier and The Industrial Commission
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How to fill out notice of professional employer:

01
Begin by entering the name of the professional employer in the designated space.
02
Provide the address of the professional employer, including street, city, state, and zip code.
03
Fill in the contact information for the professional employer, such as phone number and email address.
04
Indicate the effective date of the professional employer relationship.
05
Specify the type of professional employer relationship, whether it is a client company or a leased employee relationship.
06
Enter the name of the client company or companies associated with the professional employer.
07
Provide the addresses of the client companies, including street, city, state, and zip code.
08
Include a description of the type of work performed by the employees covered by the professional employer relationship.
09
Indicate the number of employees covered by the professional employer relationship.
10
Sign and date the notice of professional employer.

Who needs notice of professional employer?

01
Companies or organizations that engage the services of a professional employer to handle certain HR and employment responsibilities.
02
Professional employer organizations (PEOs) that enter into contractual relationships with client companies to provide HR services and share employer responsibilities.
03
Client companies that enter into leased employee arrangements with a professional employer to handle HR functions and employer liabilities.
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Notice of professional employer is a document that employers must file to inform authorities about their status as a professional employer organization (PEO).
Professional employer organizations (PEOs) are required to file notice of professional employer.
Employers can fill out notice of professional employer by providing relevant information such as company details, PEO status, and contact information.
The purpose of notice of professional employer is to notify authorities about the status of a professional employer organization (PEO) and ensure compliance with regulations.
Information such as company details, PEO status, contact information, and other relevant details must be reported on notice of professional employer.
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