Omega Business Solutions
Payroll Submission
 
 
 
 


Is employee leasing
right for you?

Take this
quiz to find out!

Please fill out the following form and we will
contact you as soon as possible:

If this is urgent, please Contact Us immediately.

(Please also print and fax First Report of Injury or Illness form)

 
Company Name:
Contact Person:
Phone:
Email:
Injured Employee Name:
Date of Accident:
 
Describe the incident
 

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