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Request for proposal form for Vendor empanelment 2026-27

Company Information

Multi-line address

Financial Information

Company's Net Worth
$0 - $200,000
$200,001 - $500,000
$500,001 - $1,000,000
$1,000,001 - $5,000,000
$5,000,001 - 20,000,000
$20,000,001 and above

Operational Information

Compliance and Certification

Do you hold an active worker's compensation insurance policy?
Yes
No
Do you hold an active general liability insurance policy?
Yes
No

Service Specialties

Primary Areas of Staffing Expertise (Select all that apply)

Client & Candidate Management

Does your company use an Applicant Tracking System (ATS)?
Yes
No

Legal and Compliance

Have there been any legal proceedings or compliance violation in the past 5 years?
Yes
No

Additional Information

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