iSolved New Client Implementation Form

isolved - New Client Implementation

This form is for isolved to submit new implementation setups of WOTC in EHX on behalf of their clients. The requested information below is necessary for Efficient Hire to enable and facilitate usage of their software and services.

isolved Information:

*Submitter Name:

*Submitter Email:

*isolved NetSuite ID:

Client Information

Information requested in this section includes details regarding the client, product selection, and billing, all of which will enable EF to effectively support isolved through out their client's lifecycle.

*Company Name:

*Company's Primary Address:

*Company's Primary FEIN:

*Product Selection:

Work Opportunity Tax Credit (WOTC)

*WOTC Contingency Fee:

*Project Go Live Date:

*Current Number of Physical Locations:

*Current Number of EINs/TaxIDs:

*Current Employee Count:

*Annual Number of New Hires:

*Brands (If not applicable, please enter N/A):

*Additional Notes for Efficient Hire (If not applicable, please enter N/A):

Client's Contact Information

*Name:

*Title:

*Email:

*Phone Number:

Please note, upon submission our Implementation Team will reach out to the submitter to request the location directory for the client.