Services Request a Free Quote
Request Quote

Please use this form to request a quote. To ensure the quickest turnaround and most accurate quote, please fill out as much information as possible.

Click here for a printable version of this form.

Referral / Broker Name
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Your Name (*)
This is a required field.
Your Email (*)
Please enter a valid email address.
Your Title (*)
This is a required field.
Company Name (*)
This is a required field.
Company Website
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Company Address (*)
This is a required field.
Company City (*)
This is a required field.
State (*)
Choose a state abbreviation from the dropdown list.
Zip (*)
Please enter a valid zip code.
Owner Name
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Business Phone (*)
Please enter only digits for your phone number. For example, if your phone is 972-555-1212 enter 9725551212.
Business Fax
Please enter only digits for your phone number. For example, if your phone is 972-555-1212 enter 9725551212.
Services of Interest






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Fed Tax ID (*)
Please enter a valid federal tax ID (digits only).
Years in Business (*)
Please enter a valid number between 0 and 100.
Nature of Business (*)
This is a required field.
Business Locations (*)
Please list all company locations.
This is a required field.
Operating Entities
If you have multiple operating entities, list each one here.
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Number of FTE's
Number of full time employees.
Please enter a valid number > 0.
Number of PTE's
Number of part time employees.
Please enter a valid number >= 0.
Your Texas SUTA Rate
Please enter a valid number.
Payoll Frequency (*)




Please choose an option from the dropdown.
Pay Period Begins (*)
For example, "Mondy" or "1st Day of Month".
This is a required field.
Pay Period Ends (*)
For example, "Sunday" or "Last Day of the Month".
This is a required field.
Pay Date (*)
For example, "Friday" or "15th and Last Day of the Month".
This is a required field.
Employee WC Class Codes (*)
State Code Position / Job # Emps.
Please select a state from the dropdown.
Please enter a valid WC class code.
This is a required field.
Please enter a valid number of employees.
Please select a state from the dropdown.
Please enter a valid WC class code.
Please enter a valid number of employees.
Please select a state from the dropdown.
Please enter a valid WC class code.
Invalid Input
Please enter a valid number of employees.
Enter the number of EE's for each class code in your company.
WC Deductible
Current WC deductible.
Please enter a valid dollar amount.
WC Policy Renewal Date
Date your current WC policy renews.
Please enter a valid date.
Health Deductible
Current health deductible.
Please enter a valid dolar amount.
Health Copay
Current health plan copay.
Please enter a valid dollar amount.
Health Renewal Date
Current health plan renewal date.
Please enter a valid date.
Current Safety Manual
If you have a safety manual and / or written safety policy, please attach a copy.
Files must be of type DOC, PDF, RTF, TXT, DOCX, XLS, JPG or JPEG.
Background Check Policy
If you conduct pre/post employment background checks on new hires for high hazard jobs, a copy of the program or policy.
Files must be of type DOC, PDF, RTF, TXT, DOCX, XLS, JPG, or JPEG.
Recent Health / Ins. Bills
If available, please attach documentation of recent health and/or supplemental insurance bills.
Files must be of type DOC, PDF, RTF, TXT, DOCX, XLS, JPG, or JPEG.
Employee Census
If available, please attach a health insurance census showing employees and dependents.
Files must be of type DOC, PDF, RTF, TXT, DOCX, XLS, JPG, or JPEG.
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Any loss runs or additional information requested after submission of this form should be sent directly to peosales@trendhr.com


Customer Quotes

"Trend does a very good job. We have dealt with four other PEOs in the past, and Trend is the best by far. We have been Trend clients for over three years now. The flexibility and ability to custom tailor to our needs sets Trend apart."

Bryan W., Owner
Staffing company

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