New Client Form For ACA Reporting | SyncStream Solution

Solutions
- - - Compliance Solutions
  - - ACA Reporting Penalties
      
      SyncStream has retained a number of leading experts...
      
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- - - ACA REPORTING
    - ACA Dashboard
    - Tracking and Reporting
  - - ACA AUDIT
    - ACA Audit Solution
    - Flags penalties and responses
- - - ACA Reporting Essentials
    - Reporting
  - - ACA Audit Defense
    - ACA Legal Expertise
- - - ACA E-File Complete
    - Print to Mail and E-File
  - - EEOC Reporting
    - EEOC Compliance
- - - ACA State Filing
    - State Mandate Fillings
  - - Past Years' 1094/1095
    - Reporting for past year
Partnerships
- - - Do you need help with ACA Compliance?
      
      SyncStream has retained a number of leading experts...
      
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- - - Referral/Reseller
    - Refer our solution to your clients and Resell our solution under a white level
  - - Benefits
    - ACA compliance solutions for complex employee benefits
- - - Payroll
    - Offering ACA compliance with integration of payroll
  - - PEO
    - ACA compliance for Professional Employer Organizations
- - - Brokers
    - ACA compliance solution for the Broker Community
About

SS Acc No #: *
Please fill the Account Number given in the email.

First Name

Last Name

Email

Company

Street

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EIN:

Employees

Single / Multiple EIN:

Self-funded or Self-Insured:

Payroll Vendor:

Ben Admin Vendor:

Is this co. an Edu Org:

employees in states:

Control Aggregate Group:

Child Co. 1 Name:

Child Co. 1 Empl Count:

Child Co. 1 Address:

Child Co. 1 EIN:

Child Co. 2 Name:

Child Co. 2 Empl Count:

Child Co. 2 Address:

Child Co. 2 EIN:

Which co. is Primary EIN:

Dashboard Contact:

Dashboard Contact email:

Dashboard Contact phone:

Dashboard phone type:

Dashboard Billing Contact:

Billing Dashboard email Address:

billing contact phone:

User 1 Contact name:

User 1 Contact email:

User 1 Contact Title:

User 1 phone Number:

User 2 Contact name:

User 2 Contact email:

User 2 Contact Title:

User 2 phone Number:

User 3 Contact name:

User 3 Contact email:

User 3 Contact Title:

User 3 phone Number: